Monday, June 10, 2019
Managed Care and Psychotherapy Essay Example | Topics and Well Written Essays - 2250 words
Managed Cargon and Psychotherapy - Essay ExampleIt rapidly spread to health insurance industry in private sector. It relies upon and effort to control ever increasing health carry off costs by health insurance industry, which fixes a sound fee. Health care hand overs charge for their services. Thanks to managed care facilities provided by health insurance industry, medical inflation rate decreased drastically in 1990s in U.S. But right now the effect looks like it has ended abruptly and U.S. medical inflation is beginning to rise steeply. Psychotherapy in its traditional invent is being challenged due to managed care pressures.Managed care is not needful for psychiatric patients as it creates many hindrances to the consumer in the early steps of treatment. Managed care makes the psychotherapy sessions all in all transparent, when it is supposed to be undisclosed.There are pros and cons. Managed care in psychotherapy is significantly a bane to the consumers. Psychotherapy always requires long number of sessions just due to pressure from insurance companies, psychotherapists reduce the number of sessions. It is the indirect supervision of the financial management of a consumers medical care performed by the ultimate reimbursement entity, usually known as the payer. Payers use utilization review-a medical professional oversees the treating physicians decisions to determine if the most financially efficient method is being used. In the optimistic view, managed care offers coordinated, integrated systems of care that emphasize prevention and cost restraints. But actually managed care leads to limited glide path, lack of choice and, sometimes, limitation of care. OHara, M. (1997) reportsNowhere are the cover consequences of the rising levels of cultural incoherence more visible than within the community of psychotherapists. Therapeutic psychology and its spin-offs, clinical social work, marriage and family therapy, psychiatric nursing, and organizational be havior, are disintegrating as academic disciplines and as fields of professional practice. The field of psychology and the individuals who inhabit it are in the midst of theoretical, epistemological, methodological, and honorable meltdown. Pluralism in graduate school day training, discussions about licensing and credentialing, variations in clinical theory and practice, debates about the status of psychological knowledge as science and as evidence in courts of law, shifting definitions of ethical and unethical behavior, and proliferation of antitherapist consumer protection laws are just some of the ways the postmodern crisis is already affecting the field. And it will get worse.Psychotherapists get into prescription business and provide pills. They are likely to have very less interaction with consumer and hinder the normal process of psychotherapy. Managed care minimizes the professional secrecy. As primary care physician refers the consumer to a specialist psychotherapist. Mana ged care programs that are commonly used are, as listed by Kuhl, V. (1994)Health Maintenance organization (HMO) In this a federally fitting HMO in exchange for a subscriber fee (Premium) allows members to access to a panel of employed physicians and facilities, including hospitals. In return HMO receives mandated market access and receives federal development funds. In HMO plan, a member is depute a Gatekeeper, a primary care physician (PCP) who takes care of members assigned to him. To avail specialty services like a specialist
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