Abstract
This article documents a unique organizational, legal, and financial partnership between a state, a university, a Medicaid managed health care plan, and a county to provide integrated mental health, substance abuse, and primary and specialty health care services to Medicaid, low-income, and indigent consumers in Washtenaw county, Michigan. Major regulatory, financial, and clinical changes were required within and among the various partners in the Washtenaw County Integrated Health Care Project. A new entity--the Washtenaw Community Health Organization--was created to implement the project. By sharing resources as well as financial risks, the state, the county, and the university have been able to provide ongoing integrated care to a vulnerable population of patients. Although resource intensive in conceptualization and implementation, the project can be viewed as a model for other states that face growing needy populations and decreasing Medicaid budgets.
Publication types
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Research Support, Non-U.S. Gov't
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Research Support, U.S. Gov't, P.H.S.
MeSH terms
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Academic Medical Centers / economics
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Academic Medical Centers / legislation & jurisprudence
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Academic Medical Centers / organization & administration
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Combined Modality Therapy
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Comorbidity
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Delivery of Health Care, Integrated / economics
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Delivery of Health Care, Integrated / legislation & jurisprudence
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Delivery of Health Care, Integrated / organization & administration*
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Humans
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Local Government
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Managed Care Programs / economics
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Managed Care Programs / legislation & jurisprudence
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Managed Care Programs / organization & administration*
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Medicaid / economics
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Medicaid / legislation & jurisprudence*
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Mental Disorders / economics
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Mental Disorders / rehabilitation*
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Michigan
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Patient Care Team / economics
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Patient Care Team / legislation & jurisprudence
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Patient Care Team / organization & administration
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Primary Health Care / economics
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Primary Health Care / legislation & jurisprudence
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Primary Health Care / organization & administration*
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Public Sector / economics
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Public Sector / legislation & jurisprudence
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Public Sector / organization & administration*
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State Health Plans / economics
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State Health Plans / legislation & jurisprudence
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Substance-Related Disorders / economics
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Substance-Related Disorders / rehabilitation*
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Uncompensated Care / economics
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Uncompensated Care / legislation & jurisprudence*
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United States