TY - JOUR
KW - collaborative care
KW - Financial sustainability
KW - Health Policy
KW - Health service reimbursement
KW - Healthcare Financing
AU - Andrew D. Carlo
AU - Jurgen Unutzer
AU - Anna D. H. Ratzliff
AU - Joseph M. Cerimele
A1 - 
AB - Purpose of Review: Collaborative care (CoCM) is an evidence-based model for the treatment of common mental health conditions in the primary care setting. Its workflow encourages systematic communication among clinicians outside of face-to-face patient encounters, which has posed financial challenges in traditional fee-for-service reimbursement environments. Recent Findings: Organizations have employed various financing strategies to promote CoCM sustainability, including external grants, alternate payment model contracts with specific payers and the use of billing codes for individual components of CoCM. In recent years, Medicare approved fee-for-service, time-based billing codes for CoCM that allow for the reimbursement of patient care performed outside of face-to-face encounters. A growing number of Medicaid and commercial payers have followed suit, either recognizing the fee-for-service codes or contracting to reimburse in alternate payment models. Summary: Although significant challenges remain, novel methods for payment and cooperative efforts among insurers have helped move CoCM closer to financial sustainability.
AD - University of Washington School of Medicine, Department of Psychiatry and Behavioral Sciences - 1959 NE Pacific Street, Box 356560, Room BB1644, Seattle, WA 98195-6560.; University of Washington School of Medicine, Department of Psychiatry and Behavioral Sciences - 1959 NE Pacific Street, Box 356560, Room BB1644, Seattle, WA 98195-6560.; University of Washington School of Medicine, Department of Psychiatry and Behavioral Sciences - 1959 NE Pacific Street, Box 356560, Room BB1644, Seattle, WA 98195-6560.; University of Washington School of Medicine, Department of Psychiatry and Behavioral Sciences - 1959 NE Pacific Street, Box 356560, Room BB1644, Seattle, WA 98195-6560.
BT - Current treatment options in psychiatry
C5 - Financing & Sustainability; Healthcare Disparities
CP - 3
CY - Switzerland
DO - 10.1007/s40501-018-0150-4
IS - 3
JF - Current treatment options in psychiatry
LA - eng
M1 - Journal Article
N2 - Purpose of Review: Collaborative care (CoCM) is an evidence-based model for the treatment of common mental health conditions in the primary care setting. Its workflow encourages systematic communication among clinicians outside of face-to-face patient encounters, which has posed financial challenges in traditional fee-for-service reimbursement environments. Recent Findings: Organizations have employed various financing strategies to promote CoCM sustainability, including external grants, alternate payment model contracts with specific payers and the use of billing codes for individual components of CoCM. In recent years, Medicare approved fee-for-service, time-based billing codes for CoCM that allow for the reimbursement of patient care performed outside of face-to-face encounters. A growing number of Medicaid and commercial payers have followed suit, either recognizing the fee-for-service codes or contracting to reimburse in alternate payment models. Summary: Although significant challenges remain, novel methods for payment and cooperative efforts among insurers have helped move CoCM closer to financial sustainability.
PP - Switzerland
PY - 2018
SN - 2196-3061
SP - 334
EP - 344
EP - 
T1 - Financing for Collaborative Care - A Narrative Review
T2 - Current treatment options in psychiatry
TI - Financing for Collaborative Care - A Narrative Review
U1 - Financing & Sustainability; Healthcare Disparities
U2 - 30083495
U3 - 10.1007/s40501-018-0150-4
VL - 5
VO - 2196-3061
Y1 - 2018
Y2 - Sep
ER -