Effectiveness of Value-Based Payment and Assertive Community Treatment to Reduce Psychiatric Hospitalizations.

IF 1.6 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES

Journal of Behavioral Health Services & Research Pub Date : 2026-04-01 Epub Date: 2025-12-04 DOI:10.1007/s11414-025-09982-y

Deborah A Duch, Amy D Herschell, Carly T Ferrone, Jalal Maqsood, Lori A Fertall, Shari L Hutchison

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引用次数: 0

Abstract

To address high-cost inpatient utilization for those with severe and persistent mental illness, stakeholders from a County Department of Human Services, a Behavioral Health Managed Care Organization, and mental health providers created a value-based payment (VBP) model to shift funding from inpatient mental health treatment (IPMH) to intensive, evidence-based, community-based mental health treatment, Assertive Community Treatment (ACT). Using a retrospective observational study, individuals who received ACT from providers participating in the VBP (N = 2) were compared to individuals who received ACT from providers (N = 17) not supported through a VBP. Results show decreasing average ACT and IPMH expenditures as well as shorter lengths of stay over time for providers under a VBP compared to those not in a VBP. Access to care was not impacted. These results, including implications for behavioral health, are discussed in the context of quality of care.

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基于价值的支付和自信的社区治疗减少精神病住院的有效性。

为了解决严重和持续性精神疾病患者的高成本住院治疗问题，来自县人类服务部、行为健康管理护理组织和精神健康提供者的利益相关者创建了一个基于价值的支付（VBP）模式，将资金从住院精神健康治疗（IPMH）转移到强化的、基于证据的、基于社区的精神健康治疗，即果断的社区治疗（ACT）。通过一项回顾性观察研究，将从参与VBP的提供者处接受ACT的个体（N = 2）与从没有通过VBP支持的提供者处接受ACT的个体（N = 17）进行比较。结果显示，与非VBP相比，VBP下的提供者的平均ACT和IPMH支出减少，住院时间也缩短。获得医疗服务的机会没有受到影响。这些结果，包括对行为健康的影响，在护理质量的背景下进行了讨论。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Behavioral Health Services & Research HEALTH CARE SCIENCES & SERVICES-PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

CiteScore

3.90

自引率

5.30%

发文量

审稿时长

>12 weeks

期刊介绍： This journal examines the organization, financing, delivery and outcomes of behavioral health services (i.e., alcohol, drug abuse, and mental disorders), providing practical and empirical contributions to and explaining the implications for the broader behavioral health field. Each issue includes an overview of contemporary concerns and recent developments in behavioral health policy and management through research articles, policy perspectives, commentaries, brief reports, and book reviews. This journal is the official publication of the National Council for Behavioral Health.