Abstract
In the 1990s the United States has, because of an unacceptable surge in health care costs, made a revolutionary shift of the reimbursement process from fee-for-service to managed care's restricted, discounted and capitated payment approaches. Mental health care has for 150 years largely been subsidized by tax supported hospitals and clinics. Federal and state governments have recently instead begun to direct much of their monies to for-profit national managed mental health care companies. While efficiency has improved and the steep rise in costs has been eased, the major drawback of this change is a too enthusiastic focus on corporate profits. Since on the whole managed care organizations do not reinvest profits into medical education or research and may pull out of the health care business once the business is no longer so profitable, clinicians and academicians must become more successful in urging politicians and the citizenry to better manage managed care.
TY - JOUR
T1 - Some early lessons from the rise of managed behavioral health care in the United States.
A1 - Schowalter,J E,
PY - 1998/11/6/pubmed
PY - 1998/11/6/medline
PY - 1998/11/6/entrez
SP - 165-73; discussion 174-83
JF - The Israel journal of psychiatry and related sciences
JO - Isr J Psychiatry Relat Sci
VL - 35
IS - 3
N2 - In the 1990s the United States has, because of an unacceptable surge in health care costs, made a revolutionary shift of the reimbursement process from fee-for-service to managed care's restricted, discounted and capitated payment approaches. Mental health care has for 150 years largely been subsidized by tax supported hospitals and clinics. Federal and state governments have recently instead begun to direct much of their monies to for-profit national managed mental health care companies. While efficiency has improved and the steep rise in costs has been eased, the major drawback of this change is a too enthusiastic focus on corporate profits. Since on the whole managed care organizations do not reinvest profits into medical education or research and may pull out of the health care business once the business is no longer so profitable, clinicians and academicians must become more successful in urging politicians and the citizenry to better manage managed care.
SN - 0333-7308
UR - https://www.unboundmedicine.com/medline/citation/9803682/Some_early_lessons_from_the_rise_of_managed_behavioral_health_care_in_the_United_States_
DB - PRIME
DP - Unbound Medicine
ER -
