Reply to How is it ok that no therapists take insurance?

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Reply to "How is it ok that no therapists take insurance?"

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[quote=Anonymous]It is perfectly reasonable that some therapists don’t take insurance.  I mean, we all have free choice when it comes to employment.  The rest of us in this country can choose to accept the conditions of a job (in this case it would be in in network provider) or choose a job with different conditions.  There is no reason that therapists shouldn’t be free to do the same.

the real problem, as most have recognized, is that insurance carriers make the job they offer so onerous that few are willing to take it.  There are some that believe it is a true calling to serve the insured community, whether it be private insurance or public programs.  There are some that do it because they could not make it without insurance.  And there are some that decide that the amount of work required is not for them.  Point is, everyone gets a choice about whom they will work for and therapists should not be held to any different standard.

As to conflict of interest when the patient and payor source are the same, well, that conflict exists no matter who pays.  In order to stay in network, a provider may have to toe the line and concur on medical necessity determinations of the carrier even if they don’t agree - As a lawyer who handled such cases, I have horror stories relating to bad outcomes when providers caved.  Providers may bend to the will of a parent or patient.  But, ultimately, that conflict exists everywhere and it’s our codes of ethics that are designed to keep us in line.  There will always be those who do not follow those codes, whether they are a therapist, a lawyer, a doctor or some other professional.  But, in the end, most will.[/quote]

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