Suchergebnisse

Congress has repeatedly proposed changing Medicaid from an entitlement to a block grant. Each state would receive a fixed amount instead of a Federal payment influenced by state decisions on eligibility, coverage, and pricing. This paper uses existing data series to simulate redistributing the annual $353 billion Federal payment among Medicaid's 56 state (and territorial) programs. Capitation by general population would shift $52 billion, mainly from large Northeastern and West Coast states to large Southern and Mountain states. Capitation by population below the Federal Poverty Line (FPL) would shift $60 billion in a similar pattern. Policymakers should understand likely state-to-state effects when considering Medicaid legislation. States could then prepare for possible changes in their Federal payment for Medicaid.

AbstractA mental health capitation experiment in Rochester, New York, is evaluating the costs and outcomes of giving a prospectively determined fixed payment to community agencies to assume responsibility and accountability for caring for as many as 1,800 seriously mentally ill patients.

AbstractIn addition to being an effective means to reform a system of care, the use of capitation funding in Arizona is yielding useful information.

AbstractCapitation is increasingly advocated as a budgeting strategy to consolidate resources, develop services, focus responsibility, and manage care appropriately for the long‐term mentally ill. Devising capitation systems is complex, and innovators should proceed cautiously.