The health care revolution: Implications for psychology and hospital practice.

Ludwigsen, Kris R.; Enright, Michael F.

doi:10.1037/h0085365

Cited by 15 publications

(14 citation statements)

References 11 publications

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“…At one extreme is denial or rage and resistance, characterized by outright refusal to cooperate with utilization review, efforts to introduce legislation or regulations to prevent or inhibit managed care, and publications about the dire results for the patients that can be expected to stem from managed care (Melnick & Lyter, 1987). It is a n unusual article that does not refer to the effects managed care is having on the autonomy or the profitability of private facilities or private practices (Ludwigsen & Enright, 1988). Other providers become involved in appropriate efforts to create proper standards to guard against potential abuses.…”

Section: Cost Considerations In Mental Health and Substance Abuse Carementioning

confidence: 99%

Current mental health care environments: Why managed care is necessary.

Broskowski¹

1994

The Mental Health Professional's Guide to Managed Care.

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This book is a testament to the fact that managed care is beginning to affect the practice of professional psychologists, and more important, that this trend is likely to continue. To practice effectively within such an environment, psychologists need to understand the forces promoting the growth of managed care and the ways they stand to be affected by and potentially to benefit from this major shift in the way mental health and substance abuse treatment services will be delivered in the future (Bloom, 1990). Although professional psychologists have not been primarily responsible for creating the cost trends that have stimulated managed care in mental health, they, like all other professionals, will be affected. It will not suffice to proclaim professional innocence, although professional sophistication on the issues may have some positive effects.This chapter has four major purposes: (a) to review national trends in general health care costs and in health service delivery systems reacting to these cost trends; (b) to review comparable trends in mental health, drug, and alcohol treatment costs and service delivery systems that echo those in the general health system; (c) to make the case that managed care in the mental health industry arises as a marketplace response to concerns for service, cost, quality, and accessibility on the part of employers and insurers; and (d) to describe a general framework for understanding the structure of managed mental health care, while pointing to opportunities for psychologists who have cost-effective services to offer in a cost-and quality-competitive market. National Health Care CostsTrends in mental health can be viewed as a n echo of trends occurring in the broader field of general health. Of these, the rising costs of treatment, even after accounting for general inflation, have been the dominant concern among

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Section: Cost Considerations In Mental Health and Substance Abuse Carementioning

confidence: 99%

Current mental health care environments: Why managed care is necessary.

Broskowski¹

1994

The Mental Health Professional's Guide to Managed Care.

View full text Add to dashboard Cite

show abstract

“…publications about the dire results for the patients that can be expected to stem from managed care (Melnick & Lyter, 1987). It is an unusual article that does not refer to the effects managed care is having on the autonomy or the profitability of private facilities or private practices (Ludwigsen & Enright, 1988).…”

Section: Cost Considerations In Mental Healthmentioning

confidence: 99%

Current mental health care environments: Why managed care is necessary.

Broskowski¹

1991

Professional Psychology: Research and Practice

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This article reviews the forces leading to the current emphases on managed mental health systems. Rapidly escalating costs, especially for inpatient care, and associated concerns for quality and patient outcomes, have led third-party payers and employers to demand more eifective cost and quality controls. The article describes and illustrates methodologies for managing mental health costs, and reviews issues related to evaluating the impact of managed care on costs and quality of patient care. This special section is a testament to the fact that managed care is beginning to affect the practice of professional psychologists, and more important, that this trend is likely to continue.To practice effectively within such an environment, psychologists need to understand the forces promoting the growth of managed care and the ways they stand to be affected by and potentially to benefit from this major shift in the way mental health and substance abuse treatment services will be delivered in the future (Bloom, 1990). Although professional psychologists have not been primarily responsible for creating the cost trends that have stimulated managed care in mental health, they, like all other professionals, will be affected. It will not suffice to proclaim professional innocence, although professional sophistication on the issues may have some positive effects.This article has four major purposes: (a) to review national trends in general health care costs and in health service delivery systems reacting to these cost trends; (b) to review comparable trends in mental health, drug, and alcohol treatment costs and service delivery systems that echo those in the general health system; (c) to make the case that managed care in the mental health industry arises as a marketplace response to concerns for service cost, quality, and accessibility on the part of employers and insurers; and (d) to describe a general framework for understanding the structure of managed mental health care, while pointing to opportunities for psychologists who have cost-effective services to offer in a cost-and quality-competitive market.

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“…Psychologists could also be at a disadvantage in the 1990s if they do not effectively market their services and fail to modify their long-standing aversion to entrepreneurial efforts (Ludwigsen & Enright, 1988). Psychologists can gain an advantage in the marketplace if they (a) exploit their research skills and quantitatively demonstrate their therapeutic effectiveness and (b) produce cost savings and patient benefits through skillful case management.…”

Section: Competition: a New Context For Counselingmentioning

confidence: 99%

“…Each year large U.S. companies devote 7%-15% of health care benefits to mental health care, with increases up to 20% per year now common (Montgomery, 1988). The costs of mental health care benefits are escalating faster than the costs of any other medical benefit (Ludwigsen & Enright, 1988). Although corporate involvement in employee mental health care is a relatively recent phenomenon, managers in business and industry now realize that the costs of such employee benefits, however well-intentioned, need to be curbed.…”

mentioning

confidence: 99%

Managed Mental Health: A Primer for Counselors

Foos¹,

Ottens

Hill³

1991

Jour of Counseling & Develop

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The mental health service delivery system is experiencing a transformation attendant to rapidly developing cost containment mechanisms. This article reviews various aspects of the new managed mental health care systems and details the gains and losses the various mental health service provider professions may experience depending upon how each responds to the changing demands of alternate service delivery systems. Recommendations are presented regarding how counselors can establish a solid base in the new managed mental health care system.

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The health care revolution: Implications for psychology and hospital practice.

Cited by 15 publications

References 11 publications

Current mental health care environments: Why managed care is necessary.

Current mental health care environments: Why managed care is necessary.

Current mental health care environments: Why managed care is necessary.

Managed Mental Health: A Primer for Counselors

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