T E Bittker

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The authors describe a prepaid mental health program affiliated with a Phoenix-based health maintenance organization. Challenged by the need to limit financial risk and by high outpatient utilization rates, this prepaid health plan, developed a policy of service delivery which could both satisfy patient and consultee demands and conserve costs. Staff(More)
Physician surpluses and escalating medical care costs have fostered an alliance among government, corporate America, and health insurers that has inspired medicine's industrialization. These same forces will transform psychiatry into an industry where prospective payment, automation, salaried employment, and central control of clinical activities threaten(More)
Prepaid psychiatric practice offers a number of cost-effective approaches to treating approximately 90% of the world's population. After reviewing the goal of prepaid psychiatry--to provide high quality medical care to a defined population at an affordable price--the author presents an overview of the fundamental components of this type of service delivery.