Because 90% of psychiatric hospitals, which are the dominant provider of mental health care, are privately owned (not-for-profit) institutions, change in care delivery is pursued principally through this payment system incentive. The Spring 2014 revision of this fee schedule included a number of important provisions for mental health care which seek to shift care delivery in line with policy objectives (see Box 4.1). This included revisions to reimbursement for mental health services.