Prospective payment and psychological services: What difference does it make? Psychologists aren't in Medicare anyway!

Uyeda, Mary K.; Moldawsky, Stanley

doi:10.1037/0003-066x.41.1.60

Cited by 10 publications

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“…This observation applies for psychological services of all sorts, including traditional psychotherapeutic services provided for individuals with mental health diagnoses (termed here for clarity mental health services , as they are within the Medicare program) as well as the behavioral medicine services in which psychologists are increasingly engaged. Yet many psychologists assume a passive stance toward the Medicare program, deeming it incomprehensible, unchangeable, and uninterested in psychological services (Uyeda & Moldawsky, 1986). In this article, we argue that Medicare need be none of these things, and we offer policy analysis, a case example, and a well-known model of public policy change (Kingdon, 1995) that can help psychologists understand and influence Medicare coverage decisions and the broader federal policy network in which coverage decisions are made.…”

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confidence: 99%

Improving Medicare coverage of psychological services for older Americans.

Karlin

Humphreys

2007

American Psychologist

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Professional psychology's ability to meet older Americans' psychological needs and to simultaneously thrive as a profession will be closely tied to the federal Medicare program over the coming decades. Despite legislative changes in the 1980s providing professional autonomy to psychologists and expanding coverage for mental health services, Medicare coverage policies, reimbursement mechanisms, and organizational traditions continue to limit older Americans' access to psychological services. This article describes how psychologists can influence Medicare coverage policy. Specifically, the authors examine widely unrecognized policy processes and recent political developments and analyze the recent creation of a new Medicare counseling benefit, applying J. W. Kingdon's (1995) well-known model of policy change. These recent developments offer new opportunities for expanding Medicare coverage of psychological services, particularly in the areas of prevention, screening, and early intervention. The article provides an analysis to guide psychologists in engaging in strategic advocacy and incorporating psychological prevention and early intervention services into Medicare. As Medicare policy entrepreneurs, psychologists can improve the well-being of millions of Americans who rely on the national health insurance program and, in so doing, can help shape the future practice of psychology.

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confidence: 99%

Improving Medicare coverage of psychological services for older Americans.

Karlin

Humphreys

2007

American Psychologist

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“…What is true for general hospitals is not presently true for psychiatric hospitals, although it could be the handwriting on the wall for psychiatric institutions. To date, psychiatric hospitals have been exempted from DRGs for a variety of reasons (Uyeda & Moldawsky, 1986). One of the reasons is that the mental health organizations, including the American Psychological As-sociation and the American Psychiatric Association, have vigorously opposed the prospective payment plan.…”

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confidence: 99%

“…It goes without saying that inpatient treatment is by far the most expensive mode of mental health care. For instance, all Medicare hospital costs have increased an average of 19.2% per year (Uyeda & Moldawsky, 1986).…”

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The mental health care revolution: Will psychology survive?

Zimet¹

1989

American Psychologist

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Managed mental health care, which encompasses a wide variety of approaches, is a response to precipitous increases in health care expenditures, particularly as they relate to mental health care. The shift from what seemed certain to become a national health insurance program only 15 years ago to the profit-driven corporate health care industry of today is truly revolutionary. These profound changes are beginning to have a major impact on the independent practices of psychologists. In this article, psychologist practitioners are exhorted to recognize this new development in the marketplace. Data are cited that show the rapid shift from free choice care to various forms of managed care, and practitioners are urged to participate in shaping the changes that are now in process in order to develop a humane and effective system of mental health care.

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“…Consequently, the average stay of such patients with a given diagnosis has tended to be longer than similarly diagnosed patients in a private-sector hospital (Jacobs & Date, 1986). These are the very kinds of patients for whom psychological services would be most indicated (Errera, 1985), yet the press toward reducing costs of in-hospital services, coupled with the drive to cut lengths of stay, has made it difficult for psychologists to justify their cost as members of or consultants to an inpatient team (Uyeda & Moldawsky, 1986). Moreover, intensified preadmission screening and greater use of residential alternatives to hospitalization have significantly changed the nature of patients entering hospital wards, so that today they are much more acutely ill than their predecessors.…”

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confidence: 99%

Marketing psychological services in the public sector.

Jacobs¹

1988

Psychotherapy: Theory, Research, Practice, Training

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This article discusses the need for psychologists to think in terms of promoting themselves, as service providers, and their techniques, as health benefits. Particular reference is drawn to current programs within the Veterans Hospital system.Only recently has the concept of "marketing" entered the lexicon of practicing psychologists (Anschuetz, 1979;Hochhauser, 1984;Tucker, 1981). Much like those in other professions, psychologists have been socialized into a professional role wherein we have made the availability of our services discreetly known and then waited to welcome referrals sent to us. For the past 40 years we have come to expect that our good works will gradually become known to our referral sources who, like our satisfied clients, will sing our praises, return for further services, and recommend others to us. Thus have individual private practices and multistaffed institutional programs grown and prospered. Consequently, when confronted with the challenge of either actively marketing one's services or suffering the consequences, professional psychologists have been assailed with an admixture of anxious feelings: part fear, part denial, part anticipation, and part embarrassment. The latter feeling is traceable to an old conditioned response that, despite economic necessity, to actively promote one's professional attributes and accomplishments not only was unseemly but also might be considered downright unethical. Over the past five years more and more psychologists have come to recognize that grudgingly, indeed, times are

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Prospective payment and psychological services: What difference does it make? Psychologists aren't in Medicare anyway!

Cited by 10 publications

References 0 publications

Improving Medicare coverage of psychological services for older Americans.

Improving Medicare coverage of psychological services for older Americans.

The mental health care revolution: Will psychology survive?

Marketing psychological services in the public sector.

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