Costs of Coordinated Specialty Care for First-Episode Psychosis: A Microcosting Analysis.

Community mental health centers Economics Financing/funding/reimbursement Public health Schizophrenia

Journal

Psychiatric services (Washington, D.C.)
ISSN: 1557-9700
Titre abrégé: Psychiatr Serv
Pays: United States
ID NLM: 9502838

Informations de publication

Date de publication:
21 Sep 2023
Historique:
medline: 21 9 2023
pubmed: 21 9 2023
entrez: 21 9 2023
Statut: aheadofprint

Résumé

In this study, the authors measured and described the costs of coordinated specialty care (CSC) for first-episode psychosis in Ohio. A microcosting tool was used to estimate personnel and nonpersonnel costs of service delivery at seven CSC programs. Average annual cost per participant (N=511 participants) was estimated as $17,810 (95% CI=$9,141-$26,479). On average, 61% (95% CI=53%-69%) of annual program costs were nonbillable. Key cost drivers included facility costs, administrative tasks, and social services. Novel financing models may redress reimbursement gaps incurred by CSC programs.

Identifiants

pubmed: 37731346
doi: 10.1176/appi.ps.20230241
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

appips20230241

Déclaration de conflit d'intérêts

Dr. Wastler reports receiving funding from the American Foundation for Suicide Prevention. Dr. Breitborde serves as an external consultant to Arizona Complete Health. The other authors report no financial relationships with commercial interests.

Auteurs

Saira Nawaz (S)

Center for Health Outcomes and Policy Evaluation Studies (Nawaz, Moon, Hasenstab, Bryant, Seiber) and Division of Epidemiology (Singh), College of Public Health, Ohio State University, Columbus; Ohio Department of Mental Health and Addiction Services, Columbus (Montesano, Knudsen); Department of Psychiatry and Behavioral Health (Wastler, Blouin, Breitborde), College of Medicine, Ohio State University, Columbus.

Kyle J Moon (KJ)

Center for Health Outcomes and Policy Evaluation Studies (Nawaz, Moon, Hasenstab, Bryant, Seiber) and Division of Epidemiology (Singh), College of Public Health, Ohio State University, Columbus; Ohio Department of Mental Health and Addiction Services, Columbus (Montesano, Knudsen); Department of Psychiatry and Behavioral Health (Wastler, Blouin, Breitborde), College of Medicine, Ohio State University, Columbus.

Kathryn A Hasenstab (KA)

Center for Health Outcomes and Policy Evaluation Studies (Nawaz, Moon, Hasenstab, Bryant, Seiber) and Division of Epidemiology (Singh), College of Public Health, Ohio State University, Columbus; Ohio Department of Mental Health and Addiction Services, Columbus (Montesano, Knudsen); Department of Psychiatry and Behavioral Health (Wastler, Blouin, Breitborde), College of Medicine, Ohio State University, Columbus.

Ian Bryant (I)

Center for Health Outcomes and Policy Evaluation Studies (Nawaz, Moon, Hasenstab, Bryant, Seiber) and Division of Epidemiology (Singh), College of Public Health, Ohio State University, Columbus; Ohio Department of Mental Health and Addiction Services, Columbus (Montesano, Knudsen); Department of Psychiatry and Behavioral Health (Wastler, Blouin, Breitborde), College of Medicine, Ohio State University, Columbus.

Parvati Singh (P)

Center for Health Outcomes and Policy Evaluation Studies (Nawaz, Moon, Hasenstab, Bryant, Seiber) and Division of Epidemiology (Singh), College of Public Health, Ohio State University, Columbus; Ohio Department of Mental Health and Addiction Services, Columbus (Montesano, Knudsen); Department of Psychiatry and Behavioral Health (Wastler, Blouin, Breitborde), College of Medicine, Ohio State University, Columbus.

Vicki L Montesano (VL)

Center for Health Outcomes and Policy Evaluation Studies (Nawaz, Moon, Hasenstab, Bryant, Seiber) and Division of Epidemiology (Singh), College of Public Health, Ohio State University, Columbus; Ohio Department of Mental Health and Addiction Services, Columbus (Montesano, Knudsen); Department of Psychiatry and Behavioral Health (Wastler, Blouin, Breitborde), College of Medicine, Ohio State University, Columbus.

Kraig Knudsen (K)

Center for Health Outcomes and Policy Evaluation Studies (Nawaz, Moon, Hasenstab, Bryant, Seiber) and Division of Epidemiology (Singh), College of Public Health, Ohio State University, Columbus; Ohio Department of Mental Health and Addiction Services, Columbus (Montesano, Knudsen); Department of Psychiatry and Behavioral Health (Wastler, Blouin, Breitborde), College of Medicine, Ohio State University, Columbus.

Heather M Wastler (HM)

Center for Health Outcomes and Policy Evaluation Studies (Nawaz, Moon, Hasenstab, Bryant, Seiber) and Division of Epidemiology (Singh), College of Public Health, Ohio State University, Columbus; Ohio Department of Mental Health and Addiction Services, Columbus (Montesano, Knudsen); Department of Psychiatry and Behavioral Health (Wastler, Blouin, Breitborde), College of Medicine, Ohio State University, Columbus.

Alexandra Blouin (A)

Center for Health Outcomes and Policy Evaluation Studies (Nawaz, Moon, Hasenstab, Bryant, Seiber) and Division of Epidemiology (Singh), College of Public Health, Ohio State University, Columbus; Ohio Department of Mental Health and Addiction Services, Columbus (Montesano, Knudsen); Department of Psychiatry and Behavioral Health (Wastler, Blouin, Breitborde), College of Medicine, Ohio State University, Columbus.

Nicholas J K Breitborde (NJK)

Center for Health Outcomes and Policy Evaluation Studies (Nawaz, Moon, Hasenstab, Bryant, Seiber) and Division of Epidemiology (Singh), College of Public Health, Ohio State University, Columbus; Ohio Department of Mental Health and Addiction Services, Columbus (Montesano, Knudsen); Department of Psychiatry and Behavioral Health (Wastler, Blouin, Breitborde), College of Medicine, Ohio State University, Columbus.

Eric E Seiber (EE)

Center for Health Outcomes and Policy Evaluation Studies (Nawaz, Moon, Hasenstab, Bryant, Seiber) and Division of Epidemiology (Singh), College of Public Health, Ohio State University, Columbus; Ohio Department of Mental Health and Addiction Services, Columbus (Montesano, Knudsen); Department of Psychiatry and Behavioral Health (Wastler, Blouin, Breitborde), College of Medicine, Ohio State University, Columbus.

Classifications MeSH