According to surveys of psychologists in private practice (e.g. ,Murphy et al. ,1998),managed care companies have

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The surveys suggest that managed care companies have exerted too much control over clinical decisions, which can ultimately have a negative impact on the quality of psychotherapy provided. While managed care companies may have helped to control costs and improve accessibility to mental health care services, concerns have been raised about their impact on clinical decision-making and privacy/confidentiality issues. Some argue that they have incentivized providers to focus on short-term, symptom-focused interventions rather than longer-term psychotherapies, which may be better suited for some clients.

According to Surveys of Psychologists in Private Practice (E