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November 2016

What to Do When the Managed Care Firm Says No

Author Affiliations
  • 1Department of Psychiatry, Columbia University, New York, New York
  • 2New York State Psychiatric Institute, New York
JAMA Psychiatry. 2016;73(11):1109-1110. doi:10.1001/jamapsychiatry.2016.2409

People in the United States who access mental health care typically have that care authorized by managed behavioral health care organizations (MBHOs) as a precondition for payment. As someone who has participated from the payer’s side in writing and monitoring commercial and public-sector contracts with MBHO vendors since the managed care industry began rapid expansion into behavioral health care in the early 1990s, I offer reflections about actions patients, clinicians, and payers may consider when an MBHO says no.

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