Real Psychiatry

In a rather stunning reversal of thirty years of public policy, the Minnesota Legislature voted last week to fund for a "network o...

My original intent was to look at the problem of what happens to a group of physicians who are sailing along with very high patie...

I decided to post my response to the pro-collaborative care post “Experiences in Implementing Collaborative Care” by Sanchez  on this blog s...

As part of the continuous harassment that is prior authorization, I recently received a form in the mail.  It was a repeat of one that I had...

This YouTube video is fresh off my Facebook feed this morning from the APA.  It features American Psychiatric Association (APA) President J...

There was an opinion piece in the New York Times a few days ago entitled "Psychotherapy's Image Problem" .  The author goes on...

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...

I follow several economic and financial blogs and I came across this piece on looterism yesterday.  For those of you not interested in clic...

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...

When you have been as sensitized as I have to the rebranding of mental health services as " behavioral health " by the managed c...

Let me start out by saying that I have a low opinion of the Huffington Post largely because of its rhetorical approach to psychiatry.  Tales...

The title of this post is an inside joke for psychiatrists.  90862 is the billing code associated with a psychiatric visit that is commonly...

The lead story in this week's Psychiatric Times was sent to me in e-mail this morning under the subject "Economy Threatens Psychi...

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

I happened to start practicing psychiatry at a time when managed care was just starting to build momentum. From a political standpoint the...

It was obvious to me from day one that this was a business strategy.  When I worked in a hospital I wore a standard white coat and embroider...