Paying for Early Interventions in Psychoses: A Three-Part Model

Psychiatr Serv. 2015 Jul;66(7):677-9. doi: 10.1176/appi.ps.201400076. Epub 2014 Dec 1.

Abstract

Widespread dissemination of early interventions for psychosis, such as the intervention offered in the RAISE study (Recovery After an Initial Schizophrenia Episode), requires a funding mechanism that is both compatible with approaches already used by payers and generates incentives for providers that promote the desired behaviors. The authors propose a funding model with three components: a prospective per-case payment made conditional on patient engagement in treatment, a per-service component to cover the costs of clinical services, and an outcome-based component conditional on achieving measurable outcome milestones. The authors describe the components and how such a payment mechanism might be implemented.

MeSH terms

  • Delivery of Health Care / economics*
  • Early Medical Intervention / economics*
  • Humans
  • Models, Economic*
  • Psychotic Disorders / therapy*
  • Schizophrenia / therapy*