Designing payment for Collaborative Care for Depression in primary care.

ABSTRACT:

Objective

To design a bundled case rate for Collaborative Care for Depression (CCD) that aligns incentives with evidence-based depression care in primary care.

Data sources

A clinical information system used by all care managers in a randomized controlled trial of CCD for older primary care patients.

Study design

We conducted an empirical investigation of factors accounting for variation in CCD resource use over time and across patients. CCD resource use at the patient-episode and patient-month levels was measured by number of care manager contacts and direct patient contact time and analyzed with count data (Poisson or negative binomial) models.

Principal findings

Episode-level resource use varies substantially with patient's time in the program. Monthly use d

SUBMITTER: Bao Y 

PROVIDER: S-EPMC3168701 | biostudies-literature | 2011 Oct

REPOSITORIES: biostudies-literature