Who will Pay for Involuntary Civil Commitment Under Capitated Managed Care? An Emerging Dilemma

Document Type


Publication Date



civil commitment, reimbursement conflicts between managed care providers & payers

Digital Object Identifier (DOI)



Explores conflicts that may arise between managed care providers and payers in the context of civil commitment, where concerns over the potential risk presented by the individual who has been committed may run counter to payment decisions limiting reimbursement for care. Six strategies that providers can use to address these issues are discussed. They include avoiding negotiations with payers over individual patients' care by ensuring that contracts with payers address civil commitment issues, identifying and creating services and social supports to reduce the necessity for commitment, adopting formal risk assessment protocols, researching the use of civil commitment and coercion in managed care settings, ensuring that incentives do not exist in states' Medicaid managed care programs to use civil commitment to shift costs, and discussing with treatment staff the growing encroachment of financial considerations into treatment decisions.

Was this content written or created while at USF?


Citation / Publisher Attribution

Psychiatric Services, v. 46, issue 10, p. 1045-1048