Ethical Issues In Managed Care

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Overview of the Article Many mental health counselors work with managed care organizations (MCOs) to provide services to clients. While managed care guidelines determine how counselors deliver services and what they will be reimbursed for, many counselors are upset with how limiting the guidelines are. It is a challenge for counselors when insurance reimbursement is denied because the MCOs are not honoring DSM codes (Braun & Cox, 2005). Therefore, counselors tend to submit inaccurate diagnoses that are reimbursable for their clients can receive services and they can be paid. However, this can lead to ethical and legal dilemmas for counselors. Braun and Cox (2005) address this issue in their article “Managed Mental Health Care: Intentional Misdiagnosis of Mental Disorders.” The article highlights the history of managed care and it’s impact on the delivery of mental health services in the United States. Counselors struggle with balancing the demands of MCOs and the welfare of their clients. The authors highlight that the influence of MCOs create ethical and legal challenges counselors in different areas. Further, the article addressed the issues around DSM codes and MCO regulations of insurance reimbursement. (Braun & Cox, 2005). It is unfortunate that some disorders are not reimbursable by insurance, which leaves the counselor to “chose between an accurate diagnosis that does not provide third party insurance reimbursement or inaccurately diagnosing their client for

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