Download or read book The Psychiatrist s Managed Care Primer written by American Psychiatric Association. Office of Economic Affairs and Practice Management and published by American Psychiatric Pub. This book was released on 1997 with total page 112 pages. Available in PDF, EPUB and Kindle. Book excerpt: Because an increasing number of patients are covered through managed care plans, psychiatrists need to understand the managed care system in order to answer their patients' questions and ensure the continued prosperity of their practices. To assist clinicians in these challenging times, The Psychiatrist's Managed Care Primer arms psychiatrists with the information and tools they need to flourish within the managed care environment while simultaneously delivering quality patient care. This monograph provides an overview of the evolution of this industry; detailed explanations of current managed care models, operations, and anticipated trends; and practical advice on key problem areas. It focuses on the pressing issues of utilization management and capitation as well as important regulatory, ethical, and legal issues psychiatrists confront under this system. The potential impact that managed care systems have on their patient referrals, clinical decision-making autonomy, and income is also examined closely. Equipped with the sophisticated understanding of managed care supplied by this primer, psychiatrists can make the important decisions that will ensure the survival of their practice.
Download or read book Health Care Reform written by American Psychiatric Association and published by American Psychiatric Pub. This book was released on 2011 with total page 38 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Patient Protection and Affordable Care Act, which was passed in March 2010, includes provisions to expand the scope of mental health care available to most Americans. What do psychiatrists need to know about the provisions of the health reform law to practice most effectively and best serve their patients? Health Care Reform: A Primer for Psychiatrists is a compilation of resources designed to educate psychiatrists and other mental health professionals about key elements of the reform law. At its core are three articles from a special section on health reform that appeared in the November 2010 issue of Psychiatric Services. Each article addresses a key question for the organization and financing of mental health and substance abuse care under health care reform: * How should states set up their health exchanges to ensure that the needs of people with mental illness are addressed?* Will coverage of mental health services be adequate under the law's provisions? * Can integration of mental and physical health care -- a particular focus of health reform -- improve the quality and efficiency of care for people with mental illness? This book also provides a list of additional readings, with links to the source documents. These include "backgrounder" articles published in Psychiatric News, analyses and commentaries from the American Journal of Psychiatry and Psychiatric Services, and white papers and other useful documents compiled by staff of the APA Department of Government Relations.
Download or read book Utilization Management written by American Psychiatric Association. Committee on Managed Care and published by American Psychiatric Pub. This book was released on 1992-01-01 with total page 84 pages. Available in PDF, EPUB and Kindle. Book excerpt: This handbook provides clinicians with timely and useful information that will help psychiatrists obtain optimal coverage of services for patients. Among the issues addressed are frequently encountered problems, confidentiality, contracting, and the process of utilization management.
Download or read book Maneuvering the Maze of Managed Care written by Kevin J. Corcoran and published by Simon and Schuster. This book was released on 1996 with total page 358 pages. Available in PDF, EPUB and Kindle. Book excerpt: Looks at the issues facing mental health professionals in regards to managed care health networks.
Download or read book Ethics Primer of the American Psychiatric Association written by American Psychiatric Association and published by American Psychiatric Pub. This book was released on 2008-08-13 with total page 116 pages. Available in PDF, EPUB and Kindle. Book excerpt: In questions of psychiatric ethics, simple "yes" or "no" answers are rare, yet questions arise frequently in the clinical setting. "Should I accept a patient's invitation to a party?" "Is it OK to tell a patient that I, too, have had a depression?" "Can I release sensitive information about my patient without the patient's consent?" "Can I give a psychiatric opinion about someone I've never examined?" A shortage of ethics instruction from medical school through residency has left many psychiatrists facing the increasingly complex field of ethics without a clear guide to ethical decision making and conduct until now. Informed by some of the formal proceedings of the APA Ethics Committee, Ethics Primer of the American Psychiatric Association presents today's ethical dilemmas in eleven informative chapters -- brought to life by the clinical vignettes based on actual cases seen by this primer's distinguished contributors. Boundary violations between the doctor -- patient relationship and any other relationship (e.g., social, sexual/romantic, business) Issues such as informed consent, psychopharmacology, hospitalization, and psychotherapy with children, adolescents, and families Issues such as confidentiality, competence and consent, quality of life, abuse and neglect, and use of restraints with geriatric populations Involuntary hospitalization rife with conflict and controversy where many ethical principles clash (e.g., beneficence, autonomy, informed consent) Reconciling ethical conduct (as delineated in guidelines of the AMA, APA, and Sabin) with managed care's cost containment and rationing of medical services Confidentiality, how this fundamental ethics principle can clash with the business ethics of managed care and insurance companies Gifts from patients and industry when and why they are or are not acceptable The often uncomfortable duty to report colleagues who engage in fraud or deception, from speaking privately with a colleague to referring a concern to a departmental committee, supervisor, or local APA ethics committee (and applicable legal mandates) Emergency care ethics how to ensure proper treatment for psychiatric patients who come to the emergency room with physical illnesses forensic psychiatry, including codes of ethics, boundary issues, and management of allegations of ethical misconduct When consultations and second opinions are needed Including an appendix with selected material from The Principles of Medical Ethics With Annotations Especially Applicable to Psychiatry, this clinical guide and reference is sure to stimulate the discussion so integral to maintaining the dynamic tradition of ethics. As such, it is essential reading for every psychiatrist -- whether in training or in established clinical practice -- who aspires to a richer appreciation for the wisdom and subtleties of the guidelines and principles of medical ethics.
Download or read book The Psychiatrist s Guide to Practice Management written by and published by American Psychiatric Publishing. This book was released on 1997 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: As managed care companies gain increasing control over the mental health care market, many psychiatrists not under contract with a managed care plan have been excluded from significant numbers of potential patients. As a result, psychiatrists must pay more attention than ever before to practice management and other business-related issues. The Psychiatrist's Guide to Practice Management provides psychiatrists with important advice on how to make their practice capable of entering agreements with managed care organizations. This important guide identifies key areas (including financial, regulatory, promotional, administrative, and geographic issues) that must be considered in order to adapt the practice to make it more appealing to managed care companies. An additional chapter covers physician networks and alliances that compete directly against managed care organizations. It also provides crucial advice for psychiatrists who wish to develop a private practice based on traditional fee-for-service and private pay plans. By using this handy guide, psychiatrists can build a thriving practice inside or outside the managed mental health care system.
Download or read book A Primer of Clinical Psychiatry written by David Castle and published by Elsevier Health Sciences. This book was released on 2013-05-15 with total page 417 pages. Available in PDF, EPUB and Kindle. Book excerpt: The second edition of A Primer of Clinical Psychiatry provides a broad overview of the major topics in psychiatry and provides the clinical skills necessary for competent clinical practice. It also includes an up-to-date overview of the scientific literature behind this fascinating and challenging medical discipline. This book covers in detail the psychiatric interview, the mental state examination, and clinical investigations relevant to psychiatry. All of the major syndromes of psychiatry are addressed including schizophrenia, depressive disorders, bipolar disorder, anxiety, post-traumatic disorders, obsessive-compulsive disorders, eating disorders, somatoform disorders and personality disorders and cover epidemiology, aetiology and clinical aspects, and discussion of specific treatment approaches. A separate section reviews biological and psychosocial aspects of treatment in psychiatry, with worked case examples. A chapter on psychiatric emergencies is included in this section. Discrete chapters cover specialist areas such as child and adolescent psychiatry, old age psychiatry, forensic psychiatry, dual disability and substance use disorders. Enhancing each chapter is a case-based role-play scenario, complete with model answers. Each scenario is set out to model modern pedagogical theory, with roles, setting, tasks, and model answers all articulated and cross-referenced to the core text. Readers can adopt various roles within the scenarios, including that of the doctor (general practice registrars, interns, and residents), allied health staff, or patients themselves and their relatives. The scenarios cover everything from basic skills such as taking a history or describing a disorder, to more advanced problems, such as working with the hostile family and assessing risk in the emergency setting. This case-based role-play approach is ideal for those preparing for psychiatry Observed Structured Clinical Examinations (OSCEs). A Primer of Clinical Psychiatry 2nd edition aims to introduce the pertinent facts of clinical psychiatry to medical students and students of mental health disciplines. It will also be a useful resource for established clinicians, including GPs and the more advanced psychiatric trainee or mental health professional. • Case-based scenarios provide a practical application of theory in real life and are ideal for OSCE preparation. • Drug dosages prescribed for biological treatment of psychiatric diseases add to the clinical aspect of the book • New chapters on the history of psychiatry and ethics in psychiatry have been added to this edition. • The section “How to use this book helps the reader navigate the book effectively and efficiently.
Download or read book Managing Managed Care written by Robert Langs and published by Jason Aronson. This book was released on 2009-02-19 with total page 157 pages. Available in PDF, EPUB and Kindle. Book excerpt: Managing Managed Care is the first comprehensive exploration of the many issues and challenges faced by both providers and patients who work under the auspices of managed care insurers. The distinctive conditions of managed care treatment are scrutinized in detail and their effects and optimal management are carefully presented. The book makes extensive use of the author's unique, in-depth understanding of the human mind and pays attention to both the consciously mediated effects of the conditions of managed care treatment and to the especially powerful, largely unappreciated effects that are mediated unconsciously. The result is a well grounded, extensive, practical guide to dealing effectively with the inevitable intrusions into the therapeutic relationship and with other common issues that are characteristic of managed care therapy. The recommendations proposed by the author can turn a failing treatment experience into one that brings symptom relief to the patient and satisfaction to the therapist. While the author is critical of many practices endorsed by managed care insurers and in use by their providers, he takes pains to propose basic improvements in these areas. In addition, the positive features of this treatment modality are given full consideration, including ways to enhance their favorable effects. The book uniquely provides critical insights for therapists and psychiatrists of all backgrounds and all levels of clinical experience in ways that will greatly enhance their work with managed care patients.
Download or read book The Psychiatrist s Guide to Managed Care Contracting written by and published by American Psychiatric Publishing. This book was released on 1997 with total page 92 pages. Available in PDF, EPUB and Kindle. Book excerpt: Because of growing enrollment in managed care plans, psychiatrists are finding it necessary to sign contracts with managed mental health care programs in order to receive third-party payment. These contracts often lead to complications and form a key area of concern for clinicians. The Psychiatrist's Guide to Managed Care Contracting helps psychiatrists make sense of the legal issues arising from their managed care contracts. In a step-by-step manner, this useful guide develops the framework for the crucial decisions that must be made and highlights the strategies a psychiatric practice can employ to shape the contract in its favor. It reviews standard contract provisions and the issues involved so that potential problems can be identified early in the negotiating process. The Psychiatrist's Guide to Managed Care Contracting also details the essential groundwork and preparation that should be completed before a psychiatric practice enters negotiations, including practice assessment, financial planning, marketing, and the development of administrative support. Equipped with this knowledge and advice, psychiatrists can negotiate from a position of strength and develop a favorable contract that ensures the survival and prosperity of their practice.
Download or read book New Roles for Psychiatrists in Organized Systems of Care written by Jeremy A. Lazarus and published by American Psychiatric Publishing. This book was released on 1998 with total page 292 pages. Available in PDF, EPUB and Kindle. Book excerpt: New Roles for Psychiatrists in Organized Systems of Care provides the reader with a comprehensive view of opportunities, challenges, and roles for psychiatrists who are working for or with new organized systems of care. A complete and frank discussion of the ethical dilemmas for psychiatrists in managed care settings is presented. Also included in this book are chapters on training and identity of the field as well as historical overviews of health care policy. Any psychiatrist working for or with organized care systems will benefit from reading this book, as it helps the reader gain a deeper understanding of the ethical challenges and solutions available. For students and residents, this book provides an overview of work and role opportunities in organized delivery systems, as well as guidance on the important ethical issues that may be encountered.
Download or read book Cumulated Index Medicus written by and published by . This book was released on 1993 with total page 1420 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Prime Time written by Frederick G. Guggenheim and published by Routledge. This book was released on 2011-04-27 with total page 217 pages. Available in PDF, EPUB and Kindle. Book excerpt: One of the difficulties that all psychiatrists encounter when they see patients for less than fifty minutes is how to be empathic while on the run. Nowadays the psychiatrist, often behind schedule, has but a Twenty Minute Hour to evaluate a patient’s level of functioning and current symptoms and side effects; to judge their responsiveness to medication; to do some teaching about medication and/or disease management; and finally to complete the chart. Prime Time gives pointers from an experienced clinician on how to deal more effectively and efficiently within time constraints. It is designed to assist psychiatrists with medication and evaluation, and to allow for psychotherapy in addition to the requisite psychopharmacology. The primer provides a number of short cuts and clinical maneuvers in initiating and ending sessions that can help promote positive transference, assist effective flow of information, and aid in closing out the session without falling behind schedule.
Download or read book Managed Care Services written by Nancy W. Veeder and published by Oxford University Press, USA. This book was released on 2001 with total page 304 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume explores policy, programmatic, and research issues in the health and behavioural health care system known as managed care. Discussions include such areas as the evolution of health care from essential social good to a commodity, cost of and access to care, parity of behavioural health services reimbursement and more.
Download or read book A Psychologist s Proactive Guide to Managed Mental Health Care written by Alan J. Kent and published by Routledge. This book was released on 1999-12 with total page 171 pages. Available in PDF, EPUB and Kindle. Book excerpt: A Psychologist's Proactive Guide to Managed Mental Health Care offers a concise overview of the evolution of managed mental health care and its impact on the working lives of clinical and counseling psychologists. Although many books explore the ramifications of managed care for psychotherapy, this is the first to take a broad perspective and examine the ways in which the new health care delivery system is affecting all aspects of practice--not just treatment but also assessment and training--as well as mental health research. The authors include some of the country's most noted psychologists with extensive experience in managed care. Their tone is optimistic rather than pessimistic; as they look at developments others have only deplored, they see potential roles and opportunities for growth for psychologists. In an era of dramatic health change, all those practitioners who are concerned about how to make managed care work for them rather than against them, will find this Guide essential reading. ALTERNATE BLURB A Psychologist's Proactive Guide to Managed Mental Health Care offers a concise overview of the evolution of managed mental health care and its impact on the working lives of clinical and counseling psychologists. While many books explore the ramifications of managed care for psychotherapy, this is the first to take a broad perspective and examine the ways in which the new health care delivery system is affecting all aspects of practice--not just treatment but also assessment and training--and mental health research as well.
Download or read book Negotiating Managed Care written by Michael A. Fauman and published by American Psychiatric Pub. This book was released on 2008-08-13 with total page 129 pages. Available in PDF, EPUB and Kindle. Book excerpt: For many psychiatrists and other mental health professionals, the clinical review is the most burdensome and disagreeable part of managed care. In that review they are asked, by a representative of the managed care company, to justify their patient's need for care and to defend the treatment they are providing. Clinicians usually feel at a disadvantage in these discussions because they are never quite sure what information the reviewer needs to approve the patient's care. This does not have to be the case. The goal of this book is to teach psychiatrists, mental health professionals, and administrators how reviewers think and how to conceptualize, present, and document clinical care in a manner that greatly increases the likelihood that reviewers will approve their request for care. Beginning with five questions that must be answered in every managed care review, the author discusses the following key topics and many others. Presenting your case to a reviewer -- How to effectively present requests for inpatient, partial hospital, and substance abuse care and avoid common mistakes that decrease the likelihood that your request will be approved. How to answer the four clinical questions that must be addressed in every review even if they are not asked by the reviewer. Negotiating with the reviewer -- How to negotiate with a reviewer who is reluctant to approve the care you request. Writing effective notes -- How to write effective clinical notes in the patient's record that substantiate your request for care and increase the likelihood that it will be approved. Dealing with unethical reviewers -- How to identify and take action against unethical reviewers and managed care companies that are insensitive to your patient's clinical needs. Appealing denials of care -- How to appeal denials of care when you do not agree with the reviewer's decision. These and many other important issues are highlighted in brief vignettes illustrating a clinician's presentation of a patient's case and a typical reviewer's comments. This tremendously useful volume will be welcomed by every mental health care practitioner who must negotiate the current managed care landscape.
Download or read book The Clinician s Guide to Managed Mental Health Care written by Norman Winegar and published by Routledge. This book was released on 1992 with total page 368 pages. Available in PDF, EPUB and Kindle. Book excerpt: Provides an overview of how managed mental health-care systems work, how managed care is reshaping the private mental health/substance abuse treatment delivery system, its implications for clinicians everywhere, and how clinicians may work with, not against, managed care.
Download or read book Handbook of Mental Health Administration and Management written by William H. Reid and published by Routledge. This book was released on 2013-08-21 with total page 584 pages. Available in PDF, EPUB and Kindle. Book excerpt: Clinicians who understand mental health care administration in addition to their clinical fields are likely to be valuable to the organizations in which they work. This handbook is an accessible source of information for professionals coming from either clinical or management backgrounds. Sections offer coverage in: mental health administrative principles, mental health care management, business, finance and funding of care, information technology, human resources and legal issues.
