By Alan J. Kent, Michel Hersen
A Psychologist's Proactive advisor to controlled psychological healthiness Care bargains a concise review of the evolution of controlled psychological well-being care and its effect at the operating lives of scientific and counseling psychologists. even though many books discover the ramifications of controlled deal with psychotherapy, this is often the 1st to take a huge viewpoint and think about the ways that the hot overall healthiness care supply procedure is affecting all features of practice--not simply remedy but in addition review and training--as good as psychological wellbeing and fitness learn. The authors comprise many of the country's so much famous psychologists with large adventure in controlled care. Their tone is positive instead of pessimistic; as they give the impression of being at advancements others have in basic terms deplored, they see power roles and possibilities for progress for psychologists. In an period of dramatic future health swap, all these practitioners who're considering how you can make controlled care paintings for them instead of opposed to them, will locate this consultant crucial studying. trade BLURB A Psychologist's Proactive consultant to controlled psychological wellbeing and fitness Care deals a concise evaluation of the evolution of controlled psychological overall healthiness care and its effect at the operating lives of medical and counseling psychologists. whereas many books discover the ramifications of controlled deal with psychotherapy, this is often the 1st to take a huge point of view and think about the ways that the recent future health care supply method is affecting all facets of practice--not simply remedy but in addition review and training--and psychological well-being examine besides.
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Extra resources for A psychologist's proactive guide to managed mental health care
Focus on Outcomes Another major focus in this new era of managed care is the emphasis on outcomes. In the past, psychologists conducted their treatment and ideally terminated with the patient when there was mutual agreement on the progress made. Today, purchasers and insurers demand more concrete evidence of the effectiveness of treatment. Practitioners are expected to utilize standardized measures, surveys, or checklists to assess patient progress. MCOs then evaluate providers based on the success they achieve with patients.
Capitation is a form of payment in which the provider receives a negotiated flat fee in exchange for providing all the patient's health care for the year. Capitation fees are often referred to by the acronym PMPM, which is the amount of money the provider receives per member per month. A provider that accepts capitation at risk agrees to provide all the necessary health care a patient needs during the course of the year and accepts the risk of losing money should the patient need excessive care.
However, not until Congress passed the HMO Act of 1973 did the United States see significant development of these types of organizations. Such legislation and a series of subsequent measures were enacted in reaction to increasing health care costs and provided the funding and the impetus for the development of HMOs and the managed care industry. PPOs represent an alternative way to manage care. They offer patients more flexibility in selecting providers but typically include many of the utilization management methods noted above.