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Mosher, P.W. (1999). Managed Care For The Perplexed. J. Amer. Psychoanal. Assn., 47(3):921-928.

(1999). Journal of the American Psychoanalytic Association, 47(3):921-928

Managed Care For The Perplexed

Paul W. Mosher

The Dictionary Of Managed Behavioral Health Care: “A” Is For “Access.” By Jodi Aronson. New York: Brunner/Mazel, 1997, 50 pp., $9.95 paperback.

The Managed Care Answer Book For Mental Health Professionals. By Gayle McCracken Tuttle and Dianne Rush Woods. New York: Brunner/Mazel, 1997, 152 pp., $21.95 paperback.

The Textbook Of Behavioral Managed Care: From Concept Through Management To Treatment. By William L. Poynter. New York: Brunner/Mazel, 1998, 137 pp., $37.95 hardcover.

Two years ago Harold Eist, then president of the American Psychiatric Association, called managed care a “tyranny” as he urged professionals to “rise up and wipe this scourge from the face of the earth” (Dixon 1998). Only one year later, Psychiatric News, the APA house organ, carried the front-page headline, “Managed Care Now ‘Firmly in Control’ But Its Shape Remains in Question.” Managed care is currently the predominant third-party funding mechanism for outpatient “psychotherapy” in the United States, where more than 85 percent of employer-based health insurance is now provided through HMOs or managed care plans.

A tidal wave of economic change has swept over the practice of out-patient psychotherapy in the United States in the past five to ten years.

[This is a summary or excerpt from the full text of the book or article. The full text of the document is available to subscribers.]

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