Third-Party Payment

Psychiatric Peer Review
  • Robert S. Long


Insurance company personnel, like most other people, assume that medical care is of high quality and strongly favor the concept that the quality remain high. Everyone wants to reduce the cost, not by impairing quality or limiting access, but by increasing efficiency and by getting the treating professionals and providers (health care facilities) to consider cost as they go about providing high-quality care. Insurance companies are also aware that many of their policyholders ask for more care than they need; use more care just because it is paid for (more or less) by some vague third party, which, in their opinion, has inexhaustible resources; and too often take advantage of the insurance system. Claims auditors and management personnel encourage the treating professionals to police the patients, the facilities, and each other other to prevent overutilization and increased costs.


American Psychiatric Association Family Therapy Hospital Record American Psychological Association Individual Therapy 


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Copyright information

© Springer Science+Business Media New York 1988

Authors and Affiliations

  • Robert S. Long
    • 1
  1. 1.Mutual of Omaha Insurance CompanyOmahaUSA

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