Evidence map›Paper›PMID 23733375›Full record

ReviewJournal of general internal medicine2013

Overcoming roadblocks: current and emerging reimbursement strategies for integrated mental health services in primary care.

Allison N O'Donnell, Mark Williams, Amy M Kilbourne

Registry-linked trialAbstract readReview
In one paragraph

Review in Journal of general internal medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01487668 (Life Goals Collaborative Care to Improve Health Outcomes in Mental Disorders), which is not on this map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01487668 nacompletednot on this map

Life Goals Collaborative Care to Improve Health Outcomes in Mental Disorders

TypeinterventionalSponsorVA Office of Research and DevelopmentRan2011 to 2015Enrolled304ConditionsBipolar Disorder, Schizophrenia, Major Depressive Disorder, Schizoaffective DisorderArmsLife Goals Collaborative Care
3 · Its place in the literature

Who cites it

19 citing papers in PubMed.

  1. Trial
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  4. Observational
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  11. Article
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  13. Financing for Collaborative Care - A Narrative Review.Current treatment options in psychiatry · 2018
    Article
  14. Article
  15. Observational
  16. Article
  17. Review
  18. Article
  19. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Allison N O'DonnellVA Ann Arbor Center for Clinical Management Research, Ann Arbor, MI, USA.
Mark Williams
Amy M Kilbourne

Funding

Implementing Chronic Care Management for Bipolar DisorderR01MH079994 · NIMH · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI KILBOURNE, AMY M · 2008 to 2012
$3.3M
NIMH NIH HHS R01 MH079994NIMH NIH HHS R01 MH79994
6 · The paper itself

Abstract

The Chronic Care Model (CCM) has been shown to improve medical and psychiatric outcomes for persons with mental disorders in primary care settings, and has been proposed as a model to integrate mental health care in the patient-centered medical home under healthcare reform. However, the CCM has not been widely implemented in primary care settings, primarily because of a lack of a comprehensive reimbursement strategy to compensate providers for day-to-day provision of its core components, including care management and provider decision support. Drawing upon the existing literature and regulatory guidelines, we provide a critical analysis of challenges and opportunities in reimbursing CCM components under the current fee-for-service system, and describe an emerging financial model involving bundled payments to support core CCM components to integrate mental health treatment into primary care settings. Ultimately, for the CCM to be used and sustained over time to integrate physical and mental health care, effective reimbursement models will need to be negotiated across payers and providers. Such payments should provide sufficient support for primary care providers to implement practice redesigns around core CCM components, including care management, measurement-based care, and mental health specialist consultation.

Indexed as

Delivery of Health Care, IntegratedHumansInsurance, Health, ReimbursementMental DisordersMental Health ServicesPrimary Health Care

Identifiers

PMID23733375
PMCPMC3832738

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.