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Methodology for Evaluating the Monroe-Livingston Capitation System
Haroutun M. Babigian; Robert E. Cole,; Sylvia K. Reed; Suzanne W. Brown; Anthony F. Lehman
Psychiatric Services 1991; doi:
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The Monroe-Livingston project is supported by grant ROl MH4 0053 from the National Institute of Mental Health. The authors acknowledge the contributions of coinvestigator Paul Schwartzman, secretary Rosemarie Oppelt, systems programmer Graciela Viturno, and interviewers Elizabeth Berl, Patricia Dean, Jennifer Fray, Faith Kessler, Nikki Longaker, and Martin Siegrist.

Department of Psychiatry at the University of Rochester Medical Center, 300 Crittenden Boulevard, Rochester, New York 14642

University of Maryland School of Medicine in Baltimore

1991 by the American Psychiatric Association

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This paper presents the methodology for evaluating the Monroe-Livingston demonstration project's capitation payment system (CPS), based in Rochester, New York, for chronic mentally ill patients. To allow for both patient and provider choice within the experimental design, 1,587 CPS-eligible patients were randomly assigned at the start of the study to control or experimental conditions, with the intent of capturing in the experimental group a significant number of patients who would later be enrolled in the CPS. Protocols, which included measures of symptomatology, functioning, and resource utilization, were completedat baseline for 422 of the 605 patients contacted for inclusion in the study. The baseline control group included 143 patients; the experimental group included 279 patients, 153 of whom were eventually enrolled in the CPS.

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