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The Carlat Psychiatry Report

Ethics in Psychiatry (January) | 2014

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An Ethical Perspective on the Affordable Care Act

January 1, 2014

This article will present ethical considerations of the ACA for psychiatrists. For the most part, ethical dilemmas for psychiatrists will occur in the quality and efficiency improvement category. Particular areas of concern are new innovations to improve quality and bring down costs, integrated health systems, linking payments to quality outcomes, payment bundling, and paying physicians based on value rather than volume. Read More

Understanding the Physician Payment Sunshine Act

January 1, 2014

Paul Appelbaum, MD

Ethical expert Dr Paul Appelbaum tells us how the Physician Payment Sunshine Act will affect psychiatrist. Read More

Is There a “Way Out” of Psychiatric Disability?

January 1, 2014

The largest and fastest-growing subset of Social Security Disability (SSDI) beneficiaries is patients with psychiatric diagnoses, even as the federal SSDI Trust Fund diminishes. In 2005, the Social Security Administration authorized the Mental Health Treatment Study (MHTS) to test the hypothesis that a comprehensive, team-based, supported employment program would increase the likelihood that beneficiaries would find work. Read More

A Disclosure That Raises More Questions Than Answers

January 1, 2014

Most medical journals (as well as TCPR) require authors to disclose their affiliations with pharmaceutical companies or other for-profit entities, to help readers assess for any evidence of bias. Read More