Ebook: Managing Managed Care

The introduction of the concept of managed care into mental and physical health care appears to be a juggernaut of unparalleled impact. The two extremes of thought about this impact are (I) that managed care is a villainous foe to be resisted in order to bring back the earlier halcyon years of independence in practice decisions with greater reimbursement for psychologists' services or (2) that managed care is a laudatory attempt to restrain health care costs that are out of control and spiraling upward by rooting out mismanagement and reversing financial incentives to provide unnecessary care. The former view calls managed health care such names as "mangled care" and distributes bumper stickers stating "Just Say No to HMOs. " The latter view points to the slowdown of increases in health care expenditures and the enhancement of health care affordability and appropriateness for greater numbers of persons resulting from managed care cost-containment strategies and service review procedures. Mental or behavioral health care has been as strongly impacted as medical care under managed care. Where managed care has forced practitioners' attention to validated procedures and to examining previous wasteful practices, we ap­ plaud the movement. Where managed care has had adverse impact, we think there needs to be greater public, legal, and regulatory attention to its excesses and abuses.

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This timely volume explains the pitfalls and problems of managed care for those practitioners, especially child clinicians, who wish to take part in it, while mapping out independent financing strategies for those who wish to remain outside the system. Managing Managed Care provides an overview of the managed care marketplace as it currently affects children and families, reviews relevant legal and financial issues, and illustrates with case examples some problems of the system.

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This timely volume explains the pitfalls and problems of managed care for those practitioners, especially child clinicians, who wish to take part in it, while mapping out independent financing strategies for those who wish to remain outside the system. Managing Managed Care provides an overview of the managed care marketplace as it currently affects children and families, reviews relevant legal and financial issues, and illustrates with case examples some problems of the system.
Content:
Front Matter....Pages i-xiii
Basics of Managed Care in Psychological Services for Children and Families....Pages 1-13
Problems Posed by Managed Care for Services to Children and Families....Pages 15-32
Legal and Ethical Issues for the Clinician in Managed Care....Pages 33-58
Adapting to the Managed Care Environment....Pages 59-100
Limiting Negative Impact of Managed Care on a Clinical Child/Pediatric Psychology Practice....Pages 101-121
Practicing outside Managed Care....Pages 123-156
Scientific Bases for Clinical Practice in Managed Care....Pages 157-176
Epilogue....Pages 177-178
Back Matter....Pages 179-191

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This timely volume explains the pitfalls and problems of managed care for those practitioners, especially child clinicians, who wish to take part in it, while mapping out independent financing strategies for those who wish to remain outside the system. Managing Managed Care provides an overview of the managed care marketplace as it currently affects children and families, reviews relevant legal and financial issues, and illustrates with case examples some problems of the system.
Content:
Front Matter....Pages i-xiii
Basics of Managed Care in Psychological Services for Children and Families....Pages 1-13
Problems Posed by Managed Care for Services to Children and Families....Pages 15-32
Legal and Ethical Issues for the Clinician in Managed Care....Pages 33-58
Adapting to the Managed Care Environment....Pages 59-100
Limiting Negative Impact of Managed Care on a Clinical Child/Pediatric Psychology Practice....Pages 101-121
Practicing outside Managed Care....Pages 123-156
Scientific Bases for Clinical Practice in Managed Care....Pages 157-176
Epilogue....Pages 177-178
Back Matter....Pages 179-191
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