Case management in psychiatric inpatient recapture.
A 2-year reduction of $5.25 million in inpatient costs, representing a decrease of 74%, resulted from implementation of a Psychiatric Management Initiative at Munson Army Community Hospital. Case management was a major component. Management in the military Civilian Health and Medical Program of the Uniformed Services (CHAMPUS) system has major differences from the civilian sector. The military case manager functions as a "guest" in the civilian psychiatric hospitals with no authority to direct care. The practice involves trend analysis, team work, innovative treatment alternatives, and active discharge planning with follow-up. This program was successful in the recapture of CHAMPUS costs despite constraints by CHAMPUS regulations. Costs went from $3,555,285 in fiscal year 1993 down to $600,743 in fiscal year 1995.
Carter
A M
AM
USAMEDDAC, CMHD, Fort Leavenworth, KS 66027-2332, USA.
D000293:Adolescent; D000328:Adult; D019090:Case Management / Q000191:economics* / Q000458:organization & administration; D003365:Costs and Cost Analysis; D006264:Health Benefit Plans, Employee / Q000191:economics*; D006760:Hospitalization / Q000191:economics*; D006772:Hospitals, Military; D006778:Hospitals, Psychiatric / Q000706:statistics & numerical data*; D006801:Humans; D001523:Mental Disorders / Q000191:economics* / Q000628:therapy; D008889:Military Personnel; D008890:Military Psychiatry / Q000191:economics*; D016730:Program Development; D012017:Referral and Consultation / Q000458:organization & administration; D014481:United States