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A Study to Determine the Cost Advantage of Establishing an Internal Champus Partnership with Civilian Providers for the Delivery of Mental Health Services in the Catchment Area of the Naval Medical Clinic Annapolis, MD

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Final rept. Jul 1999-Jul 1989

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The present environment of constrained resources in which military medicine must operate has necessitated the search for alternative health care delivery mechanisms. Efforts are being directed toward improving access to care for eligible beneficiaries and shifting the financial investment away from CHAMPUS. The purpose of this study is to examine an alternative delivery system for mental health services at Naval Medical Clinic, Annapolis, MD which has the potential of resulting in a cost savings for the government. Specifically, the study determines whether or not there is a cost advantage in establishing an internal CHAMPUS partnership with a civilian provider for the delivery of mental health care. A review of the available literature in the areas of CHAMPUS costs, CHAMPUS partnership program, and mental health care trends was conducted. CHAMPUS data regarding the mental health care workload referred to CHAMPUS in the Annapolis catchment area and associated costs were obtained. The type of provider and most appropriate services for a partnership were determined based on the statistical data and based on input from the clinic staff. A cost analysis was performed to calculate projected costs under a partnership arrangement and compared to the costs of the present system of referral to the civilian community under CHAMPUS.

Subject Categories:

  • Medicine and Medical Research

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