Budget impact and sustainability of medical care management for persons with serious mental illnesses.

ABSTRACT:

Objective

The authors assessed the 2-year outcomes, costs, and financial sustainability of a medical care management intervention for community mental health settings.

Method

A total of 407 psychiatric outpatients with serious mental illnesses were randomly assigned to usual care or to a medical care manager who provided care coordination and education. Two-year follow-up chart reviews and interviews assessed quality and outcomes of care, as well as costs from both the health system and managerial perspectives.

Results

Sustained improvements were observed in the intervention group in quality of primary care preventive services, quality of cardiometabolic care, and mental health-related quality of life. From a health system perspective, by year 2, the mean per-patient

SUBMITTER: Druss BG 

PROVIDER: S-EPMC3775649 | biostudies-literature | 2011 Nov

REPOSITORIES: biostudies-literature