Privatized Managed Care and Forensic Mental Health Services

Abstract

Managed care for mental health services, which began in the private, commercial sector, has spread over the past few years to the public mental health sector as well. Recently, states have begun considering whether to include the forensic population within their privatized managed care systems. This article explores some of the complexities and special challenges unique to forensic services and notes some of the problems that might be incurred if the forensic population were included in a managed care system. Managed care for mental health services, which began in the private, commercial sector, has spread over the past few years to the public mental health sector as well. Some states have recently.'carved out" mental health care for their Medicaid and/or seriously mentally ill populations. This means that the states have contracted with private managed-care organizations (MCOs) to provide those services on a capitated basis (examples include Massa-chusetts, Tennessee, and Utah). An essen-tial element of these systems is that a private entity is entrusted with the respon-sibility for managing the provision of ser-vices, with funding coming from public sector sources. The fact that the care is managed is not the novel feature, sinc

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oai:CiteSeerX.psu:10.1.1.898.7401Last time updated on 11/1/2017

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