Real Psychiatry

Just when I thought that prior authorization could not get any worse, I see a fax with that headline.  I guess the business geniuses who ...

I had the pleasure of dealing with another Pharmacy Benefits Manager (PBM) recently. It all starts with a fax from a pharmacy anyw...

Glaxo Smith Kline came out with a major announcement a few days ago.   It will no longer pay doctors to promote its drugs and it will no lon...

I thought I would post this latest iteration of how managed care organizations (MCOs) and their proxies in the pharmacy benefit manager (PBM...

The real issue in pharmaceuticals used to treat mental illness is the business practices that looms as an obstacle between the psychiatrist ...

When I first started working in medicine I was the Medical Director of an outpatient mental health clinic.  We had a staff of 8 psychotherap...

Prior authorizations for medications have been a huge waste of physician time and they are a now classic strategy used by PBMs and managed c...

That should be obvious by anybody reading this post but it clearly is not. I have already established that there is a disproportionate a...

As managed care organizations worked on how they could prioritize pricing over medical decisions they came up with various plans to “m...