The history of managed care and the role of the child and adolescent psychiatrist.
The child and adolescent psychiatrist cannot practice in today's world without interacting with the world of insurance and managed care. This article reviews the history of the development of the managed care industry. It also examines the variety of roles clinicians play, whether as members of physician networks, as a peer or utilization reviewers, or as medical directors. The skills required of the physician employee and the contractual and ethical concerns are discussed.
Glasser
Martin
M
Behavioral Health, Anthem Blue Cross National Accounts, Drive San Diego, CA 921232658, USA. martin.glasser@wellpoint.com
D000293:Adolescent; D000296:Adolescent Psychiatry / Q000266:history*; D002648:Child; D002665:Child Psychiatry / Q000266:history* / Q000458:organization & administration; D004992:Ethics, Medical / Q000193:education / Q000266:history*; D049672:History, 19th Century; D049673:History, 20th Century; D049674:History, 21st Century; D006801:Humans; D008329:Managed Care Programs / Q000266:history* / Q000458:organization & administration; D010819:Physician's Role / Q000266:history*; D014481:United States