Measuring the activity of mental health services in England: variation in categorising activity for payment purposes

Rowena Jacobs; Martin John Chalkley; Jan Rasmus Boehnke; Michael Clark; Valerie Moran; Maria Jose Monserratt Aragon Aragon

doi:10.1007/s10488-019-00958-7

Measuring the activity of mental health services in England: variation in categorising activity for payment purposes

Rowena Jacobs, Martin John Chalkley, Jan Rasmus Boehnke, Michael Clark, Valerie Moran, Maria Jose Monserratt Aragon Aragon

Centre for Health Economics

Research output: Contribution to journal › Article › peer-review

Abstract

In the context of international interest in reforming mental health payment systems, national policy in England has sought to move towards an episodic funding approach. Patients are categorised into care clusters, and providers will be paid for episodes of care for patients within each cluster. For the payment system to work, clusters need to be appropriately homogenous in terms of financial resource use. We examine variation in costs and activity within clusters and across health care providers. We find that the large variation between providers with respect to costs within clusters mean that a cluster-based episodic payment system would have substantially different financial impacts across providers.

Original language	English
Number of pages	11
Journal	Administration and Policy in Mental Health and Mental Health Services Research
Early online date	27 Jul 2019
DOIs	https://doi.org/10.1007/s10488-019-00958-7
Publication status	E-pub ahead of print - 27 Jul 2019

Bibliographical note

Keywords

Mental health funding
Provider payment
Episodic payment
Variation
Costs

Access to Document

10.1007/s10488-019-00958-7

Measuring the Activity of Mental Health Services in England: Variation in Categorising Activity for Payment Purposes
© The Author(s) 2019
Final published version, 686 KBLicence: CC BY

Cite this

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AU - Clark, Michael

AU - Moran, Valerie

AU - Aragon Aragon, Maria Jose Monserratt

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