Using financial incentives to promote shared mental health care

Can J Psychiatry. 2001 Aug;46(6):488-95. doi: 10.1177/070674370104600602.

Abstract

Objectives: To consider the most common primary care reimbursement structures, to identify incentives inherent in each, and to discuss how each could be used to encourage a shared-care approach to treating mental disorders at the primary care level.

Method: Three major financial reimbursement models--fee-for-service, capitation, and blended payment mechanisms--are examined. Each is considered in terms of its risk-sharing elements and the consequent incentives. We offer several scenarios to illustrate how the shared-care practice model might be encouraged under each financing mechanism.

Results: The current fee-for-service system does not encourage shared care. For wide adoption of the shared-care practice model, there must be a change in the reimbursement system's incentives. While none of the financing mechanisms offers a perfect solution, each has potential. Each, however, must be carefully tailored to its environment.

Conclusions: Financial considerations are just one aspect to achieving shared care. Nevertheless, in designing a system to encourage collaborative, coordinated care for those suffering from mental illness, decision makers should be wary of creating or maintaining obstacles (financial or otherwise) to provision of accessible, high-quality care.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Canada
  • Capitation Fee
  • Cost-Benefit Analysis
  • Fee Schedules
  • Fee-for-Service Plans / economics
  • Humans
  • Mental Disorders / economics*
  • Mental Disorders / therapy
  • National Health Programs / economics*
  • Patient Care Team / economics*
  • Physician Incentive Plans / economics*
  • Primary Health Care / economics*