Financing the "Village": Establishing a Sustainable Financial System for Child Behavioral Health

Child Adolesc Psychiatr Clin N Am. 2024 Jul;33(3):457-470. doi: 10.1016/j.chc.2024.03.008.

Abstract

An increased need for child and adolescent behavioral health services compounded by a long-standing professional workforce shortage frames our discussion on how behavioral health services can be sustainably delivered and financed. This article provides an overview of different payment models, such as traditional fee-for-service and alternatives like provider salary, global payments, and pay for performance models. It discusses the advantages and drawbacks of each model, emphasizing the need to transition toward value-based care to improve health care quality and control costs.

Keywords: Child and adolescent psychiatry; Health care delivery; Health care financing; Health services; Value-based care; Value-based payment.

Publication types

  • Review

MeSH terms

  • Adolescent
  • Adolescent Health Services / economics
  • Child
  • Child Health Services* / economics
  • Fee-for-Service Plans
  • Humans
  • Mental Health Services* / economics