Thursday, November 20th, 2008
Capitation
Capitation
If the financing system uses capitation, will dually diagnosed persons be risk-adjusted for payment at a higher level, and if so, how much more? Should increased risk adjustment hold for all the dually diagnosed, however defined, or only for certain of the more severe subgroups? Research data indicates that dually diagnosed persons have worse outcomes and poorer participation than those without a dual diagnosis in either primary mental health or addictions opiate detox malibu. This finding would tend to support providing an increased capitated rate for these clients. An increased capitated rate could be used to support expensive integrated services, increased salaries for dually trained staff, and increased intensity of outpatient drug rehab los angeles. Despite the common sense of this approach, I have yet to find a public or private financing system in which this has occurred.
Quality of Care
o confirmed addiction treatment malibu guidelines exist for dual disorder clients, although a number of texts and manuals have been developed for the addictions medical treatment of various dual disorder subpopulations. The American Society of Addiction Medicine (ASAM) is currently reviewing its patient placement criteria for addiction for the dual disorder population.
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