Under current financing arrangements, organizations are not provided with incentives to prevent metabolic side effects. The cost of the prescribing physician accrues to the mental health organization; the costs of medications, laboratory tests, and blood pressure monitoring and the cost of management of medical disorders accrue to various other organizations. Preventing metabolic complications saves no costs for the mental health organization. In fact, switching antipsychotic medications or implementing medical monitoring in the mental health setting creates costs that accrue to the mental health organization. Some mental health organizations are acquiring licenses that allow them to provide and bill for medical services. This provides funding for provision of metabolic monitoring and management. However, it still creates no disincentive to prescribing medications with metabolic risks in the first place.