Article: Blue Cross of Rhode Island Plans Overhaul of Mental-Health Payment System.(Originated from Providence Journal-Bulletin, R.I.)

PROVIDENCE, R.I.--Dec. 5--Blue Cross and Blue Shield of Rhode Island is planning an overhaul of the way it pays for and manages mental-health services, causing a stir among mental-health therapists who fear lower reimbursements and reduced choices for their patients.

The new plan, to go into effect April 1, calls for a financial arrangement called "capitation," in which Blue Cross will pay a flat amount per patient. It also allows for, but does not mandate, a reduction in the number of mental-health providers who can treat certain Blue Cross patients.

Both changes, mental-health professionals assert, threaten their ability to provide good care ...

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