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MCOs Stand On Psychotherapy
Introduction
Changes in the United States healthcare structure are continuing to evolve. In the past
decade, these changes set in a full-motion which have had a major impact not only on the
perspective but also the way psychotherapist is practiced. The evolution and propagation of clinical
practice guidelines and the upsurge in the infiltration of managed care organizations and other
types of cost-conscious medical plans are among the major forces that are driving these changes.
The supreme prominent impact of these trends has been the obligation for superior accountability
on behalf of service providers. In essence, managed care organizations and practice guidelines
have two inquiries: is the treatment cost-effective? And if it is cost-effective, does it work? Even
though these forces are impelling and influencing all components of healthcare, this research paper
is going to discuss the specific impacts of managed care organizations and their stand-in
authorization in the practice of psychotherapists.
A managed care organization (MCO) is a group of medical service benefactors who
provide controlled policies for health care service. It indentures with self- insured firms and
underwriters and other financial organizations to deliver health care services over a specified
network (Ginter et al., 2018). They also provide patient education and preventative medicine to
the enrolled workers and thus lowering the medical cost for their clients. MCOs are approved and
licensed by the Department of Consumer and Business Services (DCBS)’s director. The
organizations vary concerning their composition. For instance, others are made up of physicians,
while others comprise hospitals, physicians, and other service providers. About their structure, the
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most prominent MCOs include independent practice association, a group practice without a
specific site, and a physician management practice organization (Ginter et al., 2018).
An organization that stems from a typical MCO organization enjoys many advantages such
as reduced costs, cost-sharing, and a large pool of workforce and capital to enhance its effective
quality service delivery (Egener et al., 2017). For instance, both the employer and employees are
provided with economic incentives to choose the forms of care that are cost-effective, increased
beneficiary cost-sharing, improved programs for evaluating the necessity of certain services, and
an establishment of incentives for the outpatient surgery that is cost-effective. Concerning the
patient, they have been offered the power of choosing the best form of treatment that they can
afford.
There are other Health care policymakers such as the (CMS), Center for Medicare and
Medicaid Services, and Patient Protection and Affordable Act (PPACA) that MCO also needs to
com...
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