Evaluating health care programs by combining cost with quality of life measures: a case study comparing capitation and fee for service.

ABSTRACT:

Objective

To demonstrate cost-effectiveness analysis (CEA) for evaluating different reimbursement models.

Data sources/study setting

The CEA used an observational study comparing fee for service (FFS) versus capitation for Medicaid cases with severe mental illness (n=522). Under capitation, services were provided either directly (direct capitation [DC]) by not-for-profit community mental health centers (CMHC), or in a joint venture between CMHCs and a for-profit managed behavioral health organization (MBHO).

Study design

A nonparametric matching method (genetic matching) was used to identify those cases that minimized baseline differences across the groups. Quality-adjusted life years (QALYs) were reported for each group. Incremental QALYs were valued at different thr

SUBMITTER: Grieve R 

PROVIDER: S-EPMC2517267 | biostudies-literature | 2008 Aug

REPOSITORIES: biostudies-literature