Funder: Centers for Medicare & Medicaid Services

Author: Center for Health Care Strategies

June 20, 2011 | Webinar


Cost structures for Care Management Entities (CMEs) serving multi-system involved children and youth with severe behavioral health challenges can differ significantly from those for physical health or other human services. Understanding how to determine costs (including population-based costs) when financing CMEs is essential to determining an appropriate financing structure that supports the values-based goals of a CME.

This webinar explores examples from two Care Management Entities: Choices Inc, a nonprofit care management organization operating in several states, and Wraparound Milwaukee, a unique system of care that annually serves more than 1,300 children with serious behavioral health needs in Milwaukee, WI. The webinar explains approaches to analyzing and determining the various costs associated with CMEs, including service, care coordination, administrative, and start-up costs; and describes how to build population-based cost projections to inform the determination of capitation and case rates.