Managed care and fee discounts in psychiatry: New evidence

被引:0
|
作者
Scheffler, RM
Garrett, AB
Zarin, DA
Pincus, HA
机构
[1] Univ Calif Berkeley, Sch Publ Hlth, Berkeley, CA 94720 USA
[2] Amer Psychiat Assoc, Washington, DC 20005 USA
[3] Univ Pittsburgh, Sch Med, Dept Psychiat, Pittsburgh, PA 15260 USA
[4] RAND Corp, Santa Monica, CA 90406 USA
[5] RAND Pittsburgh Hlth Program, Pittsburgh, PA USA
来源
JOURNAL OF BEHAVIORAL HEALTH SERVICES & RESEARCH | 2000年 / 27卷 / 02期
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中图分类号
R19 [保健组织与事业(卫生事业管理)];
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摘要
This article describes the extent of managed care and fee discounting in psychiatric practice using data on 970 randomly sampled American Psychiatric Association members from the 1996 National Survey of Psychiatric Practice. Seventy percent of psychiatrists were found to have some patients in managed behavioral health care programs. The survey data illustrate that psychiatrists' involvement in managed care spans primary practice settings and is fairly evenly distributed across regions of the United States. Nationally, psychiatrists discount fees for 35% of their patients, with significant variation by practice type and extent of involvement in managed behavioral health care. The average level of discount is 25% with little variation by practice type or extent of involvement in managed behavioral health care. There is little evidence that psychiatrists with patients in managed care have higher fee levels than psychiatrists with no patients in managed care.
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页码:215 / 226
页数:12
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