Limiting the use of specialists is one of the highest priorities of managed care, which requires patients and their primary care physicians to focus on a health maintenance approach. Preventive medicine programs, encouraged by insurers and HMOs, theoretically reduce the need for expensive specialty care and thus lower overall costs. But where does this leave specialists and their institutions? Dr. John A. Kastor has studied two leading centers in...

"This straightforward volume explains the fundamentals of managed care practice and guides psychodynamic therapists in making informed decisions about whether and how to seek third-party payment for their services. Showing that psychodynamics and managed care can effectively be integrated with certain patients and under certain conditions, the authors provide clear-sighted advice about navigating within managed care organizations and address the critical...