Insurer Withdrawals Threaten More with Loss of Coverage

The individual market for health insurance – where approximately 20 million Americans purchase health policies – is insecure and unstable, according to America’s Health Insurance Plans (AHIP), a national trade association for approximately 1,300 health insurers. Writing to the Senate Finance Committee, Marilyn Tavenner, CEO and president of AHIP, said, it “clearly faces immediate and […]

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  • Ethics for psychologists: Duty to Warn & Not Getting Distracted by Legal Cases

    Some years ago a psychologist in Wausau, Wisc., found himself worrying about the increasingly angry talk by a client. He was distracted as he tried to remember the “duty to warn” standard, which is a specific case and not a statute in Wisconsin. Suddenly he found himself fighting for his life. He survived the 37 […]

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  • Health Care Reform: Republicans Face Headaches Replacing ACA

    Like many Americans, stakeholders in the health industry were stunned by Election Night 2016. Since virtually all pundits and polls had projected a victory for Democrat presidential nominee Hillary Clinton, the Affordable Care Act (ACA) was considered “a program that wasn’t going anywhere,” as Charles Kahn, the Federation of American Hospitals’ chief executive, described it, […]

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  • The Downside of RxP for Psychology

    Prescriptive authority won’t be harmful to every practice of psychology, as the scope of services provided by psychologists is very broad, but it will be harmful for the practice of psychotherapy, and a main service of many psychology practices is treatment, or psychotherapy. For those practices, prescription authority will be a game changer, turning them […]

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  • CMS Wrongfully Denying Physician Quality Reporting System (PQRS) Incentives

    Due to the dogged determination and careful attention to detail of Amy Rosett, PhD, a solo practitioner from Encino, California, the Center for Medicare and Medicaid (CMS) overturned its decision to deny a financial bonus for her 2014 participation in the Physician Quality Reporting System (PQRS). Last September Rosett failed the Measure Applicability Validation (MAV), […]

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  • A Better Way to Treat Veterans with PTSD

    Last year I watched a 60 Minutes segment on the treatment of vets with PTSD which I found disturbing. In light of the reality that vets are dramatically underserved for mental health problems as it is, the method depicted on the program to relieve them of their combat-related pain only seemed to complicate their problems. […]

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  • Ethics for Psychologists: Terminating Therapy with a Patient

    I had been seeing Martin for therapy for two years. Initially presenting for couples counseling with his wife, Gina, Martin requested to continue working with me individually after Gina dropped out of therapy. Martin seemed to love using therapy as a place to ruminate about his various existential concerns. Unfortunately, a frustrated Gina contacted me […]

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  • Health Care Fraud Grabs Headlines; Psychologists More Often Troubled by Poor Documentation

    A national health care fraud takedown in the second half of 2016 resulted in criminal and civil charges against the most providers and largest amount of alleged fraudulent billing in Medicare history. In June, U.S. Attorney General Loretta Lynch and the Department of Health and Human Services (HHS) announced an unprecedented sweep led by the […]

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  • Electronic Devices Damage Real Therapy

    A common topic in mental health circles these days is the use of electronic media in client communication, especially its pros and cons and clinical implications. Of particular note is the current generational difference in older, more traditional therapists who are digital immigrants and younger age clients, who were born into and are native to […]

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  • Affordable Care Act (ACA) constantly changing & revised

    Psychologists can be forgiven if they’ve lost track of changes to the Affordable Care Act (ACA): At its sixth anniversary, the statute has seen all three branches of the federal government undertake steps to alter it. The ACA has suffered three Supreme Court rewrites and 43 revisions through unilateral executive action. Twenty-four legislative modifications included […]

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