Am J Psychiatry 1992; 149:1157-1161
Copyright © 1992 by American Psychiatric Association
Judicial and legislative responses to cost containment
LI Sederer
McLean Hospital, Belmont, MA 02178-9106.
Cost containment through reduction of insurance benefits and aggressive
utilization review is increasingly risking the sacrifice of good clinical
care in the pursuit of financial objectives. This article provides examples
of judicial and legislative responses to perceived fiscal intrusions into
clinical practice. Principles for asserting clinical goals in the cost
containment process are also provided to assist in the inevitable
negotiations and battles ahead.