Measuring the activity of mental health services in England

Variation in categorising activity for payment purposes

Rowena Jacobs, Martin Chalkley, Jan Böhnke, Michael Clark, Valerie Moran, María José Aragón (Lead / Corresponding author)

    Research output: Contribution to journalArticle

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    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 languageEnglish
    Number of pages11
    JournalAdministration and Policy in Mental Health and Mental Health Services Research
    Early online date27 Jul 2019
    DOIs
    Publication statusE-pub ahead of print - 27 Jul 2019

    Fingerprint

    Mental Health Services
    England
    Episode of Care
    Costs and Cost Analysis
    Health Personnel
    Mental Health

    Keywords

    • Mnetal health funding
    • provider payment
    • episodic payment
    • variation
    • costs
    • Mental health funding
    • Costs
    • Provider payment
    • Variation
    • Episodic payment

    Cite this

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    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.",
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    Measuring the activity of mental health services in England : Variation in categorising activity for payment purposes. / Jacobs, Rowena; Chalkley, Martin; Böhnke, Jan; Clark, Michael; Moran, Valerie; Aragón, María José (Lead / Corresponding author).

    In: Administration and Policy in Mental Health and Mental Health Services Research, 27.07.2019.

    Research output: Contribution to journalArticle

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    AU - Chalkley, Martin

    AU - Böhnke, Jan

    AU - Clark, Michael

    AU - Moran, Valerie

    AU - Aragón, María José

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