Funding Alternatives to Offset the Reimbursement Impacts of Managed Care The impact of managed care’s cost reduction practices is being felt dramatically within the professions of audiology and speech-language pathology. We have previously reported that, in some instances, managed care organizations (MCOs) are exacting discounts of up to 25% upon providers’ published fee schedules (Henri & Hallowell, in press). ... Article
Article  |   March 01, 1999
Funding Alternatives to Offset the Reimbursement Impacts of Managed Care
Author Affiliations & Notes
  • Bernard P. Henri
    Cleveland Hearing & Speech Center, Cleveland, OH
  • Brooke Hallowell
    Ohio University, Athens, OH
Article Information
Articles
Article   |   March 01, 1999
Funding Alternatives to Offset the Reimbursement Impacts of Managed Care
SIG 2 Perspectives on Neurophysiology and Neurogenic Speech and Language Disorders, March 1999, Vol. 9, 11-14. doi:10.1044/nnsld9.1.11
SIG 2 Perspectives on Neurophysiology and Neurogenic Speech and Language Disorders, March 1999, Vol. 9, 11-14. doi:10.1044/nnsld9.1.11
The impact of managed care’s cost reduction practices is being felt dramatically within the professions of audiology and speech-language pathology. We have previously reported that, in some instances, managed care organizations (MCOs) are exacting discounts of up to 25% upon providers’ published fee schedules (Henri & Hallowell, in press). The effects of cost control mechanisms upon practitioners have been dramatic, with many of our colleagues experiencing personnel layoffs, abbreviated workweeks, and reductions in salaries and benefits. The consequences for individuals and families needing our services have been equally extreme and distressing. Barriers to accessing care have increased and severe restrictions have been imposed upon allowed visits. Denials of evaluation and treatment pre-authorizations and even of authorized treatment already rendered are increasing substantially. At the Cleveland Hearing & Speech Center (CHSC), for example, denials have increased from 5% to 30% in less than 3 years.
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