A State Catastrophic Health Insurance Plan and the Peer Review Process
Abstract
Rhode Island instituted a catastrophic health insurance plan in January 1975. The state division of health insurance was concerned about the amount of money spent for psychiatric services during the first year—$98,000 of the total $516,000 spent on medical services. The state then proposed amendments that would markedly reduce the plan's benefits for psychiatric services. The Rhode Island District Branch of the American Psychiatric Association was successful in blocking the amendments when its peer review committee offered to review cases submitted for psychiatric services in order to help determine the necessity and appropriateness of treatment and the type of cases likely to be eligible for catastrophic coverage. As of February 1977 a total of 11 cases had been referred to the peer review committee.
Access content
To read the fulltext, please use one of the options below to sign in or purchase access.- Personal login
- Institutional Login
- Sign in via OpenAthens
- Register for access
-
Please login/register if you wish to pair your device and check access availability.
Not a subscriber?
PsychiatryOnline subscription options offer access to the DSM-5 library, books, journals, CME, and patient resources. This all-in-one virtual library provides psychiatrists and mental health professionals with key resources for diagnosis, treatment, research, and professional development.
Need more help? PsychiatryOnline Customer Service may be reached by emailing [email protected] or by calling 800-368-5777 (in the U.S.) or 703-907-7322 (outside the U.S.).
