So, one insurance company announced that they are cutting what they will pay us but about 4%. BUT if we agree to fill out forms with our clients that track how well they are doing, they will give us an Increase of 3%. That turns out to be a 7% bribe to get out clients to reveal information that they may not wish to reveal. The questions are about their job functioning, sleep habits, sex lives and social relationships.
Then the insurance company can rank us as to how effective we are as therapists so that people can make an "informed choice" based upon unreliable, and possibly irrelevant data..
So, it is bit of an ethical dilemma: We should disclose our financial incentive to our clients before they take the survey. But that will put pressure on them to help out their therapist, even if they don't want to give up the information.
Of course, I don't think that doing psychotherapy is comparable to doing heart surgery. Really finding a way to measure success is complex. Also, it is clear that some people do better with certain kinds of therapists. It certainly isn't "one size fits all."
But the insurance companies need ways to act like they are doing something, especially now that "managed care" didn't even manage money that well.
Of course we will really be rated on how few sessions we use to drive clients away from therapy.
It's the same logic that expects an occupying army to help a country lean how to be "free."
The CEO of the insurance company must have thought his idea to cut our compensation was really creative; he took a raise of almost $1,000,000.
Raise you hand if you're surprised.
I don't see many hands.
4 comments:
I am alredy pissed at how the insurance companies are dictating health care, and it is now interferring with MY life, and then I read this. This is about the worst load of crap ever, and what as a country will we do about it? Not one damned thing. We will continue to let it happen, just like we are letting EVERYTHING else just go on and on....
when I read this I hope I didn't live in this era, in our time... then I think "was it ever better? will it ever be better?"... and I don't have an answer.... I'm happy I don't live in the US and I also guess it's only a question of time before the insurance companies in Europe copy their big brothers... it's like growing up isn't it?
Insurance Companies are ridiculous. They will find any way to not help and support those in need.
Its pathetic.
Tery (Peace of Mind)
Big brother...
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