terminating therapy too soon

Yes, you can decide to operate primarily outside of managed care.

I have, and so have hundreds, maybe thousands, of therapists. To do this, you need more than a bunch of tips and techniques. You need a systematized approach that works and some necessary skill sets.

Why Are You Reading This? Maybe you are tired of working in the managed-care system and are thinking about starting a managed-care free practice. Maybe you have started a private practice, but are struggling to get private-pay clients. Maybe you have a good private practice, but feel you have not realized your full potential. You want a full practice of well-paying clients. Maybe you just want a few great ideas to take your practice to the next level. One good idea can sometimes make a big difference.

Private practice has changed drastically from what it was a little over a decade ago and continues to evolve. Much of the change has been related to the expansion of managed-care insurance.

Many practitioners have been able to thrive while others struggle. Many mental health professionals have left private practice, unable to successfully adapt.

Some of the concerns and frustrations I hear expressed include:

• Low fees
• Being undervalued in the managed-care system
• Lower quality of services in the managed-care system
• Discouragement with the lowered income, additional strains

  and burdens

• Managed care is too much in the driver’s seat
• Encountered inequities in the managed-care system
• Ethical dilemmas about such things as continuity of care and

  terminating therapy too soon

• Having to work too many hours to make ends meet
• Time-consuming authorization, billing and administrative work
• A pervasive current of gloom reg
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  de to operate primarily outside of managed care.

  I have, and so have hundreds, maybe thousands, of therapists. To do this, you need more than a bunch of tips and techniques. You need a systematized approach that works and some necessary skill sets.

  Why Are You Reading This? Maybe you are tired of working in the managed-care system and are thinking about starting a managed-care free practice. Maybe you have started a private practice, but are struggling to get private-pay clients. Maybe you have a good private practice, but feel you have not realized your full potential. You want a full practice of well-paying clients. Maybe you just want a few great ideas to take your practice to the next level. One good idea can sometimes make a big difference.

  Private practice has changed drastically from what it was a little over a decade ago and continues to evolve. Much of the change has been related to the expansion of managed-care insurance.

  Many practitioners have been able to thrive while others struggle. Many mental health professionals have left private practice, unable to successfully adapt.

  Some of the concerns and frustrations I hear expressed include:

  • Low fees
  • Being undervalued in the managed-care system
  • Lower quality of services in the managed-care system
  • Discouragement with the lowered income, additional strains

    and burdens

  • Managed care is too much in the driver’s seat
  • Encountered inequities in the managed-care system
  • Ethical dilemmas about such things as continuity of care and

    terminating therapy too soon

  • Having to work too many hours to make ends meet
  • Time-consuming authorization, billing and administrative work
  • A pervasive current of gloom re
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    ng to get private-pay clients. Maybe you have a good private practice, but feel you have not realized your full potential. You want a full practice of well-paying clients. Maybe you just want a few great ideas to take your practice to the next level. One good idea can sometimes make a big difference.

    Private practice has changed drastically from what it was a little over a decade ago and continues to evolve. Much of the change has been related to the expansion of managed-care insurance.

    Many practitioners have been able to thrive while others struggle. Many mental health professionals have left private practice, unable to successfully adapt.

    Some of the concerns and frustrations I hear expressed include:

    • Low fees
    • Being undervalued in the managed-care system
    • Lower quality of services in the managed-care system
    • Discouragement with the lowered income, additional strains

      and burdens

    • Managed care is too much in the driver’s seat
    • Encountered inequities in the managed-care system
    • Ethical dilemmas about such things as continuity of care and

      terminating therapy too soon

    • Having to work too many hours to make ends meet
    • Time-consuming authorization, billing and administrative work
    • A pervasive current of gloom re
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      sion of managed-care insurance.

      Many practitioners have been able to thrive while others struggle. Many mental health professionals have left private practice, unable to successfully adapt.

      Some of the concerns and frustrations I hear expressed include:

      • Low fees
      • Being undervalued in the managed-care system
      • Lower quality of services in the managed-care system
      • Discouragement with the lowered income, additional strains

        and burdens

      • Managed care is too much in the driver’s seat
      • Encountered inequities in the managed-care system
      • Ethical dilemmas about such things as continuity of care and

        terminating therapy too soon

      • Having to work too many hours to make ends meet
      • Time-consuming authorization, billing and administrative work
      • A pervasive current of gloom re
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        come, additional strains

        and burdens

      • Managed care is too much in the driver’s seat
      • Encountered inequities in the managed-care system
      • Ethical dilemmas about such things as continuity of care and

        terminating therapy too soon

      • Having to work too many hours to make ends meet
      • Time-consuming authorization, billing and administrative work
      • A pervasive current of gloom regarding the future of the profession.

      Perhaps you, like many professionals I talk to in the consulting and coaching part of my work, aspire toward a more rewarding and lucrative practice. That’s where I was several years ago. As a practicing psychologist, I know what you are likely experiencing. I love being a psychologist in private practice, but also understand how challenging it can be. I also know how to make a practice grow and stay successful.

      I foresee that more and more practitioners will discover financial success and freedom to deliver individualized services in private practice outside of managed care. These practitioners will increase their satisfaction level and sustain it.

      From the outset, I established a private-pay-only practice. I did this for several reasons:

      • I believe that managed care does not cover high quality services
      • Clients want and deserve customized attention
      • Many people value real privacy, which they cannot have in managed care
      • I believe I deserve to make a good living in the profession, and can design a more satisfying workplace outside of managed care

      The question was, would enough people be willing to pay out of pocket for services? The answer was and is YES. More and more, people are coming to the realization that insurance no longer covers high-quality therapy. If people desire it, they have to pay out of pocket. If people pay less, they get less.

      Managed care does not cover high-quality therapy or many psychologically-based services for which people feel a need. People will pay for services they perceive as a sufficient value to themselves.

      The value of private-pay services over managed-care services are that they are more personalized, remove the stigma of the medical model and clinic