Mental Health Professionals - How Do We Survive the Crisis in Managed Care?

We all know there is a major crisis in health care in theand your clients' behalf). But if you do NOT have your
USA. I've been reading with interest discussions on listideal practice you will need to consciously determine
serves and blogs about how to better manage costs,how much energy you have to dedicate to taking on
redistribute funds and improve reimbursement rates.the macro-economics of managed care and how
Through my reading I have come to two conclusions.much time you dedicate to the micro-economics of
1.) There is no easy answer and 2.) no one seems toyour business and practice.
agree on a place to start any reform.Now I can imagine a chorus of voices, "If we don't
Consumers blame doctors for making too muchchange health care, we can do NOTHING to better
money, doctors blame consumers for not taking careour business!" To which I say: not true!
of their health and requiring expensive procedures,You see, we have become conditioned to rely on
mental health professionals seem very intent onmanaged care to fund our practices and often
blaming managed care companies themselves forsuccumb to a learned helplessness that we can only
hoarding profits. And the truth is, all of those pointsstand by and suffer whatever policies come down
have merit and I believe everyone must own a piecefrom the managed care pipeline. Well, we know better
of reform.than anyone that learned helplessness is a cognitive
But let's get down to brass tacks--these issues areprocess. Our thinking becomes our reality.
very macro-economic. We need some seriousBut what if you shift your thinking? What if you do not
number crunchers, economists, and policy wonks tohave to do whatever MCOs dish out to make a living?
address this. A call to your legislator or a nicely writtenHow would that improve your mood, your sense of
letter to your senator is not going to produce radicalwell-being, your ability to be present with your clients?
change. I'm not saying that you should not do thoseWhat if you start to think that the skills and information
things, and I do think that mental health professionalsyou possess are needed by so many and you can
need to be a voice at the table when health careshare your knowledge and talents in a variety of
reform is discussed, but you and I are not going toways, not just in the 50 minute hour paid by a third
move mountains and reform a system so much a partparty?
of our American economy and health care culture.I submit to you that as psychologists, social workers,
But I for one, still want to make a good living whilemarriage and family therapists and licensed mental
helping people live more satisfying, emotionally healthyhealth counselors we must shift our thinking in this way
lives. I also have only so any hours in my day tobecause our reimbursement rates WILL NOT
dedicate to work, family, my health and worrying aboutINCREASE---EVER. Even if we wage the most
the greater economy.comprehensive, strategic, aggressive battle known to
Now this may sound a tad self-preserving of me, but Ithe health care industry, we will not regain ground. No
feel a responsibility to tell it as I see it. The time I spendmedical group can expect this to happen, but we get
in angst over the unfair practices of managed care isstuck in this magical thinking that if only we could
time I take AWAY from thinking creatively about"convince" somebody of our worth they will pay us
building my practice. Realistically I can do almostmore.
NOTHING about changing managed care in thisSo use your energy wisely. Try to promote your
moment. However, I can do many, many things toknowledge, gifts and talents to serve as many as you
develop my practice in this moment. So I have twocan while still valuing yourself and your contributions to
choices, use my "business thinking time" to worry,others. While it is easy to get stuck in helplessness,
complain and feel anger about the unfairness of it all, oranger and frustration it is unproductive at best,
plan to build and grow so I can offer my services todestructive at worst. And shift your thinking to one of
more people and make a better living for myself. Soa proactive private practice business builder, not a
how should you be spending your time?reactive, fearful, angry health care provider. Trust me,
Now maybe you already have an ideal practice andyou will get more good accomplished and benefit from
your have time to take on managed care, if so, myless stress, more energy and good vibes surrounding
many thanks to you! However, if you do not have youryou.
ideal practice then leave the policy development toLooking for more information on building your ideal
your professional associations to whom you payprivate practice and developing multiple streams of
significant dues to take on such things (and if you areincome? Visit Susan's blog, The BizSavvy Therapist,
not a member of APA, NASW and your statefor more information.
association, it is time to do so, they advocate on your