First published in 1994. A revolution has been taking place in behavioral health financing, and only those practitioners who know how to successfully market themselves to managed care organizations are likely to maintain their hold in this rapidly changing system. Realistic, clear, insightful and highly practical, The Preferred Provider's Handbook will help therapists to understand the managed care marketplace and to develop the strategies necessary to meet its many challenges. You will learn how to: Get accepted on preferred provider lists of managed care organizations (M.C.O.s); Generate patient referrals once you are accepted onto a panel of preferred providers; Retain active referral status over the long term; Zero in on the higher quality networks that produce higher income and have minimal legal risk; Break into closed provider lists-one of the most difficult but important tasks. The Handbook clearly sets forth the basics of managed care with the aim of helping psycho therapists gain an understanding and acceptance of this new system. The volume addresses strategic marketing, whereby therapists can select and pursue those managed care organizations best suited to their needs; provides tools for designing and implementing a marketing plan; and gives a framework for understanding and making profitable use of future trends-in a profes sional and ethical manner. Of particular value is a chapter discussing marketing implications for behavioral health arising from the Clinton administration's new "managed competition" plans. Armed with specific information on how to fill out an M.C.O. application, how to analyze a contract, which specialties are most desirable and which should be avoided, how to network, and much, much more, you will be well on your way to professional success. This is an essential resource for all practitioners in the managed care marketplace.
The changing role of managed care can be a daunting challenge to both experienced clinicians and students entering into the practice for the first time. Managed care seems to have come out of nowhere and has affected the psychotherapy community so strongly that private-practice clinicians are finding that they must reinvent their practices in order to work well with managed care systems. The Textbook of Behavioral Managed Care presents, in a well organized and comprehensive manner, the basic definitions of managed care; its effects on clinicians; and most importantly, how clinicians can respond to the pressures of managed care and still maintain the quality of their practices. For experienced clinicians, the information in this volume will prove invaluable in adapting to the ever increasing role of managed care; for the student entering into practice, the book is an essential tool for understanding the forces that managed care has brought into play. The better managed care companies have two goals: to stretch behavioral health resources and, ultimately, to improve quality. In light of these two important tasks, this book demonstrates that truly effective implementation of managed care requires sophistication of experienced, knowledgeable, specialized therapists. The Textbook of Behavioral Managed Care will provide clinicians with a greater level of understanding that enables them to implement managed care in the most effective manner possible.
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