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Economic grand rounds: improving the quality of depression care in Medicaid.

Because many individuals with depression receive mental health care services through Medicare and Medicaid, disseminating evidence-based depression care in the public sector warrants attention. In this column we identify factors that distinguish quality improvement for depression in the Medicaid program and describe system-level changes made by a nonprofit Medicaid health plan—Colorado Access—to improve depression care under a demonstration program funded by the Robert Wood Johnson Foundation (RWJF).