Mental health services for Alzheimer's disease. Current trends in reimbursement and public policy, and the future under managed care.
Behavioral or psychiatric symptoms in Alzheimer's disease are strongly related to the use of health care services and result in a significant emotional and financial burden for families. This paper is an overview of major trends in the organization and funding of mental health services for people with Alzheimer's disease, emphasizing specific public policy and reimbursement initiatives that have affected acute and long-term care. Recent trends reflecting increased federal scrutiny of Medicare-reimbursed services and the current and future challenges in providing mental health services to people with Alzheimer's disease within managed care and capitated health plans are also addressed.
Bartels
S J
SJ
NH-Dartmouth Psychiatric Research Center, Department of Psychiatry, Michigan State University, USA.
Colenda
C C
CC
D000368:Aged; D000544:Alzheimer Disease / Q000628:therapy*; D002204:Capitation Fee; D005192:Family Health; D005544:Forecasting; D006291:Health Policy; D006801:Humans; D007349:Insurance, Health, Reimbursement / Q000639:trends*; D008329:Managed Care Programs / Q000191:economics* / Q000639:trends*; D008484:Medicaid / Q000191:economics; D008605:Mental Health Services / Q000191:economics / Q000706:statistics & numerical data* / Q000600:supply & distribution*; D011640:Public Policy; D014481:United States