Champus psychiatric inpatient savings : military management versus contractor, the fort polk experience.
Inpatient psychiatric costs were a significant part of the CHAMPUS bill at Bayne Jones Army Community Hospital.
With implementation of Gateway to Care, a case management program was developed for intervention.
In May 1993, Foundation Health Federal Services Inc. began a modified CHAMPUS Reform Initiative program providing an opportunity to retrospectively analyze two methods of managed care.
Civilian hospital inpatient admissions for both programs during fiscal year [FY] 1993 were compared to corresponding periods in FY 1992.
Under the case management program, admissions were reduced by 67%, occupied bed days by 74%, and costs by 76%. Under the Foundation Health Program, admissions were reduced by 13%, occupied bed days by 15%, and total costs by 42%. Both methods achieved savings over standard CHAMPUS.
In spite of constraints that Foundation Health did not have, the case management program appeared to be more effective, demonstrating that a managed health care program directed by the hospital commander can significantly reduce costs.
Mots-clés Pascal : Hôpital psychiatrique, Armée, Coût, Programme sanitaire, Organisation, Soin, Homme, Etats Unis, Amérique du Nord, Amérique
Mots-clés Pascal anglais : Psychiatric hospital, Army, Costs, Sanitary program, Organization, Care, Human, United States, North America, America
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0402381
Code Inist : 002B30A04D. Création : 01/03/1996.