92% of State Behavioral Health Reforms Use Capitation Financing Combination of Funding Streams & Transfer of Risk From States Continues
OPEN MINDS, The Behavioral Health & Social Service Industry Analyst Industry Statistics Of 46 states with reform initiatives affecting behavioral health, 92% use capitation financing models. All of the 15 states with integrated physical and behavioral health plans use capitation. Eighty percent of behavioral health carve out models use capitaton, with a quarter of the plans reporting the use of case rates. The use of capitation and case rates continues to be included as an integral part of states' health care reform efforts. Equally significant is states' development of separate capitation or case rates for a number of distinct populations . . .