States' embrace of managed mental health care.

Medicaid Payment and Delivery System Reform: Early Insights from 10 Medicaid Expansion States.

Issue Expanded Medicaid enrollment under the Affordable Care Act has heightened the importance of states’ roles as principal purchasers of health care for low-income and medically vulnerable populations. Concurrently, the federal government has augmented states’ purchasing tools. Goal To examine the evolution of payment and delivery system reform in 10 ACA Medicaid expansion states. Methods...

Privatized managed care and forensic mental health services.

Managed care for mental health services, which began in the private, commercial sector, has spread over the past few years to the public mental health sector as well. Recently, states have begun considering whether to include the forensic population within their privatized managed care systems. This article explores some of the complexities and special challenges unique to forensic services and...

An evaluation of agreements between managed care organizations and community-based mental illness and addiction disorder treatment and prevention providers.

This Issue Brief, prepared for the Substance Abuse and Mental Health Services Administration (SAMHSA), examines contracts between managed care organizations (MCOs) and community-based providers of mental illness and addiction disorder treatment and prevention services (MI/AD providers). Building upon initial research published in 1997, this brief explores in depth one of the most hidden aspects...

Why liberals should embrace managed care.

Managed mental health care in the public sector.

Due to strong market forces and payor concerns, first in the private and now in the public sector, the mental health field is changing. The survivors and leaders will be the innovators and risk takers. They must have the ability to look critically at themselves and make needed changes. This new environment creates great opportunity to provide better mental health care. Capitated mental health p...