Data on Mental Health Detailed by Researchers at Weill Cornell Medical College (Value-Based Payment in Implementing Evidence-Based Care: The Mental…

Data on Mental Health Detailed by Researchers at Weill Cornell Medical College (Value-Based Payment in Implementing Evidence-Based Care: The Mental Health Integration Program in Washington State)

By a News Reporter-Staff News Editor at Insurance Weekly News -- A new study on Mental Health is now available. According to news reporting from New York City, New York, by VerticalNews journalists, research stated, "To assess the role of value-based payment (VBP) in improving fidelity and patient outcomes in community implementation of an evidence-based mental health intervention, the Collaborative Care Model (CCM). Retrospective study based on a natural experiment."

The news correspondents obtained a quote from the research from Weill Cornell Medical College, "We used the clinical tracking data of 1806 adult patients enrolled in a large implementation of the CCM in community health clinics in Washington state. VBP was initiated in year 2 of the program, creating a natural experiment. We compared implementation fidelity (measured by 3 process-of-care elements of the CCM) between patient-months exposed to VBP and patientmonths not exposed to VBP. A series of regressions were estimated to check robustness of findings. We estimated a Cox proportional hazard model to assess the effect of VBP on time to achieving clinically significant improvement in depression (measured based on changes in depression symptom scores over time). Estimated marginal effects of VBP on fidelity ranged from 9% to 30% of the level of fidelity had there been no exposure to VBP (P < .05 for every fidelity measure). Improvement in fidelity in response to VBP was greater among providers with a larger patient panel and among providers with a lower level of fidelity at baseline. Exposure to VBP was associated with an adjusted hazard ratio of 1.45 (95% confidence interval, 1.04-2.03) for achieving clinically significant improvement in depression."

According to the news reporters, the research concluded: "VBP improved fidelity to key elements of the CCM, both directly incentivized and not explicitly incentivized by the VBP, and improved patient depression outcomes."

For more information on this research see: Value-Based Payment in Implementing Evidence-Based Care: The Mental Health Integration Program in Washington State. American Journal of Managed Care, 2017;23(1):48-53,81-83. American Journal of Managed Care can be contacted at: Managed Care & Healthcare Communications Llc, 666 Plainsboro Rd, Ste 300, Plainsboro, NJ 08536, USA.

Our news journalists report that additional information may be obtained by contacting Y.H. Bao, Weill Cornell Med College, Dept. of Psychiat, New York, NY, United States. Additional authors for this research include T.G. McGuire, Y.F. Chan, A.A. Eggman, A.M. Ryan, M.L. Bruce, H.A. Pincus, E. Hafer and J. Unutzer.

Keywords for this news article include: New York City, New York, United States, North and Central America, Mental Health, Weill Cornell Medical College.

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