Managed Care, Solution-Focused Therapies Some of the most important changes that have taken place in therapy over the last 10 to 15 years, is movement from ecosystemic to solution-focused brief therapy has occurred. The former approach builds on themes in Milton Erickson's (Erickson, Rossi, & Rossi, 1976) uncommon therapy and the systems approach of the Mental Research Institute (Watzlawick, Weakland, & Fisch, 1974)
Between 1940 and the 1970s, more employees were covered by health care insurance than ever before in the history of the country, contributing to better health care, but also contributing to the steadily rising health care costs. When employers did not provide group coverage, many middle-class Americans could not afford an individual insurance policy for their families; some did not have access to group coverage because they were self-employed, small entrepreneurs with limited incomes; and there were people with long-term serious preexisting conditions who were denied coverage through employment, or who simply could not afford the extremely expensive risk-adjusted policies available in the marketplace (Birenbaum, 1997, p
The reviewer informs Dr. Jackson that the company will not authorize payment for further psychotherapeutic care" (Cummingse, 1992, p
Specifically it will include a brief history of managed care, along with some pros and cons about the process. Managed care is an arrangement where an insuring organization accepts the risk for providing a defined set of health services, using a defined set of providers, for a defined population, in return for a fixed or regular per capita payment" (Lammers and Geist, 1997, p
Health insurance plans divide up their revenues -- the premiums -- into funds for different kinds of services. In addition to a fund for primary care doctors' pay, there might be funds for specialists' fees, prescription drugs, emergency room visits, and ancillary services such as physical therapy, laboratory tests, and X-ray and other imaging studies (Stone, 1998, p
Healthcare reform initiatives will have a significant impact on the business models of healthcare insurance and managed care sectors in the United States. Premium increases is one of the potential impacts of reforms since insurance and managed care plans will include the costs of recruiting new individuals to their coverage base and transform their benefit structures (Boyle, Deaton & Maddigan, 2010)
While most of the other types of managed care plans being hybrids of the two, individuals are required to know the details of their specific managed care plans. Regardless of the type, managed care plans usually guarantee total access to health care for its members on a daily basis (Carlson, 2009)