Psych Matters

Update on Private Health Insurance - Managed Care Implications for Psychiatrists

July 09, 2021 RANZCP
Psych Matters
Update on Private Health Insurance - Managed Care Implications for Psychiatrists
Chapters
Psych Matters
Update on Private Health Insurance - Managed Care Implications for Psychiatrists
Jul 09, 2021
RANZCP

This episode of Psych Matters discusses the Australian psychiatric healthcare implications of the advent of Managed Care in Private Health Insurance with the recent emergence of a private company that can selectively contract with healthcare providers on behalf of insurers. The basic characteristics of managed care: selective contracting, financial incentives for performance and utilisation management present significant challenges for psychiatric care in Australia, especially in the context of the failures of managed care in the United States where it originated.

 Professor Jeffrey Looi and Dr William Pring present the healthcare policy background and discuss the clinical implications of managed care.

Associate Professor Jeffrey Looi, MBBS Syd, MD ANU, DMedSc Melb, FRANZCP, AFRACMA, is a clinical academic neuropsychiatrist, in private and public practice, and Head of the Academic Unit of Psychiatry and Addiction Medicine at the Australian National University Medical School. Jeffrey leads the Australian, United States, Scandinavian-Spanish Imaging Exchange (AUSSIE) and the Consortium of Australian-Academic Psychiatrists for Independent Policy and Research Analysis (CAPIPRA). He has received multiple research and leadership awards including: a Fulbright Scholarship and Australian-Davos-Connection Future Summit Leadership Award. He is an co-author on more than 195 peer-reviewed papers, including research at the UCLA Medical School, Karolinska Institute and University of Melbourne.

Dr Bill Pring  is a general psychiatrist who works predominantly in private practice, but was also been involved in consultation–liaison (Psychosomatics) psychiatry in the public sector for twenty–four years. 

 Bill served on the Victorian Branch of The Royal Australian and New Zealand College of Psychiatrists (RANZCP) including as Branch General Councillor. Within the Australian Medical Association (AMA), Bill has served as Psychiatry Craft Group Representative on the AMA Federal Council and was the Chair of the Federal AMA Public Health and Aged Care Committee, and an AMA Observer on Private Mental Health Alliance (PMHA).

SAGE Journals
Members login to RANZCP.org and access journals. Search for this title on the Journals website: 

  • A clinical update on managed care implications for Australian psychiatric practice

Feedback:
If you have a topic suggestion or would like to participate in a future episode of Psych Matters, we’d love to hear from you.
Please contact us by email at: psychmatters.feedback@ranzcp.org

Disclaimer: 
This podcast is provided to you for information purposes only and to provide a broad public understanding of various mental health topics.  The podcast may represent the views of the author and not necessarily the views of The Royal Australian and New Zealand College of Psychiatrists ('RANZCP'). The podcast is not to be relied upon as medical advice, or as a substitute for medical advice, does not establish a doctor-patient relationship and should not be a substitute for individual clinical judgement.  By accessing The RANZCP's podcasts you also agree to the full terms and conditions of the RANZCP's Website. Expert mental health information and finding a psychiatrist in Australian or New Zealand is available on the RANZCP’s Your Health In Mind Website.

Show Notes

This episode of Psych Matters discusses the Australian psychiatric healthcare implications of the advent of Managed Care in Private Health Insurance with the recent emergence of a private company that can selectively contract with healthcare providers on behalf of insurers. The basic characteristics of managed care: selective contracting, financial incentives for performance and utilisation management present significant challenges for psychiatric care in Australia, especially in the context of the failures of managed care in the United States where it originated.

 Professor Jeffrey Looi and Dr William Pring present the healthcare policy background and discuss the clinical implications of managed care.

Associate Professor Jeffrey Looi, MBBS Syd, MD ANU, DMedSc Melb, FRANZCP, AFRACMA, is a clinical academic neuropsychiatrist, in private and public practice, and Head of the Academic Unit of Psychiatry and Addiction Medicine at the Australian National University Medical School. Jeffrey leads the Australian, United States, Scandinavian-Spanish Imaging Exchange (AUSSIE) and the Consortium of Australian-Academic Psychiatrists for Independent Policy and Research Analysis (CAPIPRA). He has received multiple research and leadership awards including: a Fulbright Scholarship and Australian-Davos-Connection Future Summit Leadership Award. He is an co-author on more than 195 peer-reviewed papers, including research at the UCLA Medical School, Karolinska Institute and University of Melbourne.

Dr Bill Pring  is a general psychiatrist who works predominantly in private practice, but was also been involved in consultation–liaison (Psychosomatics) psychiatry in the public sector for twenty–four years. 

 Bill served on the Victorian Branch of The Royal Australian and New Zealand College of Psychiatrists (RANZCP) including as Branch General Councillor. Within the Australian Medical Association (AMA), Bill has served as Psychiatry Craft Group Representative on the AMA Federal Council and was the Chair of the Federal AMA Public Health and Aged Care Committee, and an AMA Observer on Private Mental Health Alliance (PMHA).

SAGE Journals
Members login to RANZCP.org and access journals. Search for this title on the Journals website: 

  • A clinical update on managed care implications for Australian psychiatric practice

Feedback:
If you have a topic suggestion or would like to participate in a future episode of Psych Matters, we’d love to hear from you.
Please contact us by email at: psychmatters.feedback@ranzcp.org

Disclaimer: 
This podcast is provided to you for information purposes only and to provide a broad public understanding of various mental health topics.  The podcast may represent the views of the author and not necessarily the views of The Royal Australian and New Zealand College of Psychiatrists ('RANZCP'). The podcast is not to be relied upon as medical advice, or as a substitute for medical advice, does not establish a doctor-patient relationship and should not be a substitute for individual clinical judgement.  By accessing The RANZCP's podcasts you also agree to the full terms and conditions of the RANZCP's Website. Expert mental health information and finding a psychiatrist in Australian or New Zealand is available on the RANZCP’s Your Health In Mind Website.