Managing Managed Care

Whether you’re having problems managing managed care, or are just interested in staying on top of developments in this area, these links may be of assistance.

A state-by-state breakdown of mental health parity laws is provided by Insure.com, http://www.insure.com/health/mentalstate.html.

Links to MCO websites can be found at http://www.themcic.com/industry/mcweb.htm#Health Plans.

ERISA Case Law Update as of April 14, 2000 http://www.nga.org/Pubs/IssueBriefs/2000/Sum000501ERISA.asp, brought to you by the National Governors’ Association.

Another ERISA site, Mike McKuin's web site for some interesting information about ERISA. http://members.aol.com/MMckuin/index.html

American Mental Health Alliance, http://www.mental-health-coop.com/, "a growing national alliance of over 2,000 mental health practitioners, including psychiatrists, psychologists, licensed social workers, and other licensed mental-health practitioners. We have developed a caring and respectful mental healthcare delivery system to manage costs without interfering with the client-therapist relationship."

VA Psych Association, GUIDELINES FOR RESPONSIBLE HEALTH CARE DELIVERY IN A MANAGED CARE ENVIRONMENT, http://www.vapsych.org/guidelin.htm

Having trouble with managed-care-speak? http://www.pohly.com/terms.html deciphers the jargon.

The Patient Access Coalition, http://home.patientaccess.com/pac/, is a group of national patient and medical services provider organizations dedicated to ensuring that the focus of health care be on patients and the quality of their medical care.

The Law Firm Of Bryant L. Welch, J.D., Ph.D. & Associates, http://www.welchlaw.com/, HMO malpractice and managed care liability.

HARP (Health Administration Responsibility Project) http://www.harp.org "is a resource for patients, doctors, and attorneys seeking to establish the liability of Managed Health Care Organizations and Nursing Facilities for the consequences of their decisions." This is an excellent site. Very illuminating.

Rescue Health Care Day site. It is currently (10/20/00) at http://www.rescuehealthcareday.com/links.htm

Physicians Who Care, http://www.pwc.org/, an organization of physicians dedicated to preserving the doctor-patient relationship. Physicians Who Care also sponsor the HMO Page, www.hmopage.org, which has information on managed care abuses and on alternatives such as Medical Savings Accounts.

National Coalition of Mental Health Professionals & Consumers is a national organization of professionals, consumers, and consumer that advocates for patients and professionals and is working to address the negative impact of managed care on patients and professionals in mental health care at www.nomanagedcare.org

Open Minds, http://www.openminds.com/, "an industry research and consulting firm specializing in the behavioral health and social service fields. Our mission is to provide innovative publications, educational programs, and consulting services to payers, providers, and consumers." While most products are subscription, the site features a free email update on managed care issues.

The Academy of Managed Care Providers^®, http://www.academymcp.org/, a national organization of clinicians, managed care professionals and affiliated healthcare industry professionals.

Linda Peeno’s Testimony before the House Commerce Committee, http://harp.org/peeno.htm. A confession of managed care denial tactics, entitled, MANAGED CARE ETHICS: THE CLOSE VIEW. Devastating!

PRS Disability Management Resource Page http://www.psychdismgmt.com/, sponsored by PRS, "a national leader in return-to-work, disability claims cost containment, and training/consulting in managing disability issues. PRS is a specialist in mental health and psychiatric disability management and conducts services for families and businesses nationwide"

Rate the Insurer provides "..mental health clinicians and consumers with information about the experiences of other clinicians with the insurance companies listed." Fees for psychologists are listed and verified from fee schedules provided to therapists by the indicated insurers.
http://www.mentalhealth-madison.com/Documents/Rate_the_Insurer.htm.

Psychotherapy Finances and Managed Care Strategies are subscription newsletters, but their website at http://www.psyfin.com/ has some articles on managed care issues.

Managed Care Information Center http://www.themcic.com/. Much information on issues important to those in the managed care industry.

Managed Care Jokes, http://www.baltimorepsych.com/mcjokes.htm. Stress relief for the weary.


Return to: Practice Links Home Members Area Home		Managing Managed Care Whether you’re having problems managing managed care, or are just interested in staying on top of developments in this area, these links may be of assistance. A state-by-state breakdown of mental health parity laws is provided by Insure.com, http://www.insure.com/health/mentalstate.html. Links to MCO websites can be found at http://www.themcic.com/industry/mcweb.htm#Health Plans. ERISA Case Law Update as of April 14, 2000 http://www.nga.org/Pubs/IssueBriefs/2000/Sum000501ERISA.asp, brought to you by the National Governors’ Association. Another ERISA site, Mike McKuin's web site for some interesting information about ERISA. http://members.aol.com/MMckuin/index.html American Mental Health Alliance, http://www.mental-health-coop.com/, "a growing national alliance of over 2,000 mental health practitioners, including psychiatrists, psychologists, licensed social workers, and other licensed mental-health practitioners. We have developed a caring and respectful mental healthcare delivery system to manage costs without interfering with the client-therapist relationship." VA Psych Association, GUIDELINES FOR RESPONSIBLE HEALTH CARE DELIVERY IN A MANAGED CARE ENVIRONMENT, http://www.vapsych.org/guidelin.htm Having trouble with managed-care-speak? http://www.pohly.com/terms.html deciphers the jargon. The Patient Access Coalition, http://home.patientaccess.com/pac/, is a group of national patient and medical services provider organizations dedicated to ensuring that the focus of health care be on patients and the quality of their medical care. The Law Firm Of Bryant L. Welch, J.D., Ph.D. & Associates, http://www.welchlaw.com/, HMO malpractice and managed care liability. HARP (Health Administration Responsibility Project) http://www.harp.org "is a resource for patients, doctors, and attorneys seeking to establish the liability of Managed Health Care Organizations and Nursing Facilities for the consequences of their decisions." This is an excellent site. Very illuminating. Rescue Health Care Day site. It is currently (10/20/00) at http://www.rescuehealthcareday.com/links.htm Physicians Who Care, http://www.pwc.org/, an organization of physicians dedicated to preserving the doctor-patient relationship. Physicians Who Care also sponsor the HMO Page, www.hmopage.org, which has information on managed care abuses and on alternatives such as Medical Savings Accounts. National Coalition of Mental Health Professionals & Consumers is a national organization of professionals, consumers, and consumer that advocates for patients and professionals and is working to address the negative impact of managed care on patients and professionals in mental health care at www.nomanagedcare.org Open Minds, http://www.openminds.com/, "an industry research and consulting firm specializing in the behavioral health and social service fields. Our mission is to provide innovative publications, educational programs, and consulting services to payers, providers, and consumers." While most products are subscription, the site features a free email update on managed care issues. The Academy of Managed Care Providers^®, http://www.academymcp.org/, a national organization of clinicians, managed care professionals and affiliated healthcare industry professionals. Linda Peeno’s Testimony before the House Commerce Committee, http://harp.org/peeno.htm. A confession of managed care denial tactics, entitled, MANAGED CARE ETHICS: THE CLOSE VIEW. Devastating! PRS Disability Management Resource Page http://www.psychdismgmt.com/, sponsored by PRS, "a national leader in return-to-work, disability claims cost containment, and training/consulting in managing disability issues. PRS is a specialist in mental health and psychiatric disability management and conducts services for families and businesses nationwide" Rate the Insurer provides "..mental health clinicians and consumers with information about the experiences of other clinicians with the insurance companies listed." Fees for psychologists are listed and verified from fee schedules provided to therapists by the indicated insurers. http://www.mentalhealth-madison.com/Documents/Rate_the_Insurer.htm. Psychotherapy Finances and Managed Care Strategies are subscription newsletters, but their website at http://www.psyfin.com/ has some articles on managed care issues. Managed Care Information Center http://www.themcic.com/. Much information on issues important to those in the managed care industry. Managed Care Jokes, http://www.baltimorepsych.com/mcjokes.htm. Stress relief for the weary.
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