Supporting Child Psychiatric Services Using Current Managed Care Approaches
You Can't Get There From Here
Michael Jellinek, MD;
Michelle Little
Arch Pediatr Adolesc Med. 1998;152:321-326.
For-profit behavioral health care companies have transformed the way mental health services are provided for children. Using marketplace approaches, companies have "carved out" mental health services for many patients receiving care from pediatricians. This report details specific approaches used by these firms to maximize profits, minimize the role of child and adolescent psychiatrists, and limit clinical services. Understanding for-profit carveouts will help primary care pediatricians appreciate the likely consequences of such reimbursement incentives for the care of children and their families.
From the Child Psychiatry Department, Massachusetts General Hospital, Boston.
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Mirror, Mirror on the Wall: Are We Prescribing the Right Psychotropic Medications to the Right Children Using the Right Treatment Plan?
Jellinek
Arch Pediatr Adolesc Med 2003;157:14-16.
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