--- title: "Meaning & Key Takeaway of: In the old days we used to get more…" description: "\"In the old days we used to get more referrals, because people had insurance that paid for therapy. Now they belong to HMOs, and we can only be affiliat..." image: "https://sms4smile.com/quotes/i/a6e/albert-ellis-3379_mental-health_in-the-old-days-we-used-to-get-more-refe_2692319.jpg" --- # In the old days we used to get more referrals, because… ![“In the old days we used to get more referrals, because people had insurance that paid for therapy. Now they belong to HMOs, and we can only be affiliated with a few HMOs.” quote by Albert Ellis](https://sms4smile.com/quotes/i/a6e/albert-ellis-3379_mental-health_in-the-old-days-we-used-to-get-more-refe_2692319.jpg) [Download](https://sms4smile.com/quotes/i/a6e/albert-ellis-3379_mental-health_in-the-old-days-we-used-to-get-more-refe_2692319.jpg) [Open image](https://sms4smile.com/quotes/i/a6e/albert-ellis-3379_mental-health_in-the-old-days-we-used-to-get-more-refe_2692319.jpg) > “In the old days we used to get more referrals, because people had insurance that paid for therapy. Now they belong to HMOs, and we can only be affiliated with a few HMOs.” [Albert Ellis](https://sms4smile.com/quotes/author/albert-ellis/) ## About This Quote This interpretation was drafted with AI assistance. It is one reading of the quote, not the author's own explanation. The shift from fee‑for‑service therapy to HMO affiliation reduced referral volume because insurers no longer reimburse directly. **In simple terms:** Insurance changes lowered therapy referrals. Key Takeaway Adapt practice models to new insurance structures. Themes healthcare therapy insurance referrals Mood strategic pragmatic Type professional practical When to use this quote - clinic management - policy planning - patient outreach Key Concepts health economics behavioral health Questions to Reflect On - How can therapists expand networks? - What alternatives exist for patients? A Different Perspective Limited to certain HMOs may restrict patient access. ★ ★ ★ ★ ★ No ratings yet [Mental health](https://sms4smile.com/quotes/about/mental-health/) [Old days](https://sms4smile.com/quotes/about/old-days/) [People](https://sms4smile.com/quotes/about/people/) [Referrals](https://sms4smile.com/quotes/about/referrals/) [Therapy](https://sms4smile.com/quotes/about/therapy/) ## Related quotes > [“Doctors who spend more time talking into their tape recorders instead of looking into the eyes of their patients. (Spare us the "HMOs only…](https://sms4smile.com/quotes/karl-albrecht/doctors-who-spend-more-time-talking-into-their-tape-recorders-instead/) [Karl Albrecht](https://sms4smile.com/quotes/author/karl-albrecht/) > [It's interesting that there are only two groups of people in our country who are not held accountable for their behavior or decisions. One…](https://sms4smile.com/quotes/debbie-stabenow/it-s-interesting-that-there-are-only-two-groups-of-people-in-our/) [Debbie Stabenow](https://sms4smile.com/quotes/author/debbie-stabenow/) > [Today, only two groups in the United States have total immunity from lawsuits: foreign diplomats and HMOs. We believe it's time to end diplomatic…](https://sms4smile.com/quotes/tom-harkin/today-only-two-groups-in-the-united-states-have-total-immunity-from/) [Tom Harkin](https://sms4smile.com/quotes/author/tom-harkin/) > [The most successful network marketers I know, the ones receiving tons of referrals and feeling truly happy about themselves, continually put the other person's…](https://sms4smile.com/quotes/bob-burg/the-most-successful-network-marketers-i-know-the-ones-receiving-tons/) [Bob Burg](https://sms4smile.com/quotes/author/bob-burg/) > [I don't think most of my opinions, political or social, are so far outside of the mainstream that they'd cause massive outrage on a…](https://sms4smile.com/quotes/charles-stross/i-don-t-think-most-of-my-opinions-political-or-social-are-so-far/) [Charles Stross](https://sms4smile.com/quotes/author/charles-stross/) > [Holiday hiring is only useful if you get the right people, and the consensus among HR professionals is that the most consistent and efficient…](https://sms4smile.com/quotes/fabrizio-moreira/holiday-hiring-is-only-useful-if-you-get-the-right-people-and-the/) [Fabrizio Moreira](https://sms4smile.com/quotes/author/fabrizio-moreira/) > [I need no traffic from Google. I don't care if I get one traffic referral from Google, or Bing, or Yahoo, or any of…](https://sms4smile.com/quotes/matt-drudge/i-need-no-traffic-from-google-i-don-t-care-if-i-get-one-traffic/) [Matt Drudge](https://sms4smile.com/quotes/author/matt-drudge/) > [I feel that puttin' in the hours and years in the studio, honing my craft, definitely played a part, me consciously networking and presenting…](https://sms4smile.com/quotes/nipsey-hussle/i-feel-that-puttin-in-the-hours-and-years-in-the-studio-honing-my/) [Nipsey Hussle](https://sms4smile.com/quotes/author/nipsey-hussle/) > [The most devastating indictment of the president's proposal is that it threatens to destroy virtually everything about American health care that's worth preserving. Under…](https://sms4smile.com/quotes/william-kristol/the-most-devastating-indictment-of-the-president-s-proposal-is-that/) [William Kristol](https://sms4smile.com/quotes/author/william-kristol/) > [Most great companies in tech have been built by personal referrals for the first...at least 100 employees and often many more.](https://sms4smile.com/quotes/sam-altman/most-great-companies-in-tech-have-been-built-by-personal-referrals/) [Sam Altman](https://sms4smile.com/quotes/author/sam-altman/) > [Referrals are very powerful. When I refer you, I give a little bit of my reputation away. If you do a good job, my…](https://sms4smile.com/quotes/ivan-misner/referrals-are-very-powerful-when-i-refer-you-i-give-a-little-bit-of/) [Ivan Misner](https://sms4smile.com/quotes/author/ivan-misner/) > [Everybody is so hungry for referrals, for 'likes.' I don't need to be liked. I don't need to be liked at all. I don't…](https://sms4smile.com/quotes/matt-drudge/everybody-is-so-hungry-for-referrals-for-likes-i-don-t-need-to-be/) [Matt Drudge](https://sms4smile.com/quotes/author/matt-drudge/) > [People influence people. Nothing influences people more than a recommendation from a trusted friend. A trusted referral influences people more than the best broadcast…](https://sms4smile.com/quotes/mark-zuckerberg/people-influence-people-nothing-influences-people-more-than-a/) [Mark Zuckerberg](https://sms4smile.com/quotes/author/mark-zuckerberg/) > [Consumers are taking ownership of brands, and their referral power is priceless.](https://sms4smile.com/quotes/erik-qualman/consumers-are-taking-ownership-of-brands-and-their-referral-power-is/) [Erik Qualman](https://sms4smile.com/quotes/author/erik-qualman/) > [“Don’t be afraid to say no to projects. Prove that you’re serious about specialization by turning down work that falls outside your area of…](https://sms4smile.com/quotes/john-warrillow/don-t-be-afraid-to-say-no-to-projects-prove-that-you-re-serious-about/) John Warrillow ## More by Albert Ellis > [The best years of your life are the ones in which you decide your problems are your own. You do not blame them on…](https://sms4smile.com/quotes/albert-ellis/the-best-years-of-your-life-are-the-ones-in-which-you-decide-your/) [Albert Ellis](https://sms4smile.com/quotes/author/albert-ellis/) > [“REBT’s Insight No. 1 holds that you have both healthy and unhealthy emotions”](https://sms4smile.com/quotes/albert-ellis/rebt-s-insight-no-1-holds-that-you-have-both-healthy-and-unhealthy/) [Albert Ellis](https://sms4smile.com/quotes/author/albert-ellis/) > [Failure doesn't have anything to do with your intrinsic value as a person.](https://sms4smile.com/quotes/albert-ellis/failure-doesn-t-have-anything-to-do-with-your-intrinsic-value-as-a/) [Albert Ellis](https://sms4smile.com/quotes/author/albert-ellis/) > [So I'd better stop my whining and help myself cope better with even the worst Adversities.](https://sms4smile.com/quotes/albert-ellis/so-i-d-better-stop-my-whining-and-help-myself-cope-better-with-even/) [Albert Ellis](https://sms4smile.com/quotes/author/albert-ellis/) > [I'm one of the best-loved psychologists in the United States, but I'm also probably the most hated one.](https://sms4smile.com/quotes/albert-ellis/i-m-one-of-the-best-loved-psychologists-in-the-united-states-but-i-m/) [Albert Ellis](https://sms4smile.com/quotes/author/albert-ellis/) > [I thought foolishly that Freudian psychoanalysis was deeper and more intensive than other, more directive forms of therapy, so I was trained in it…](https://sms4smile.com/quotes/albert-ellis/i-thought-foolishly-that-freudian-psychoanalysis-was-deeper-and-more/) [Albert Ellis](https://sms4smile.com/quotes/author/albert-ellis/) > [I'm very happy. I like my work and I like the various aspects of it - going around the world, teaching the gospel according…](https://sms4smile.com/quotes/albert-ellis/i-m-very-happy-i-like-my-work-and-i-like-the-various-aspects-of-it/) [Albert Ellis](https://sms4smile.com/quotes/author/albert-ellis/) > [Let's suppose somebody abused you sexually. You still had a choice, though not a good one, about what to tell yourself about the abuse.](https://sms4smile.com/quotes/albert-ellis/let-s-suppose-somebody-abused-you-sexually-you-still-had-a-choice/) [Albert Ellis](https://sms4smile.com/quotes/author/albert-ellis/) > [People don't just get upset. They contribute to their upsetness.](https://sms4smile.com/quotes/albert-ellis/people-don-t-just-get-upset-they-contribute-to-their-upsetness/) [Albert Ellis](https://sms4smile.com/quotes/author/albert-ellis/) > [“The concept of deservingness for one’s “sins” implies that certain acts are unquestionably under all conditions “sinful.” And this is impossible to prove.”](https://sms4smile.com/quotes/albert-ellis/the-concept-of-deservingness-for-one-s-sins-implies-that-certain-acts/) [Albert Ellis](https://sms4smile.com/quotes/author/albert-ellis/) > [The art of love is largely the art of persistence.](https://sms4smile.com/quotes/albert-ellis/the-art-of-love-is-largely-the-art-of-persistence/) [Albert Ellis](https://sms4smile.com/quotes/author/albert-ellis/) > [I teach people to be flexible, scientific and logical in their thinking and therefore to be less prone to brainwashing by the therapist.](https://sms4smile.com/quotes/albert-ellis/i-teach-people-to-be-flexible-scientific-and-logical-in-their/) [Albert Ellis](https://sms4smile.com/quotes/author/albert-ellis/) > [For that again, is what all manner of religion essentially is: childish dependency. If something is irrational, that means it won't work. It's usually…](https://sms4smile.com/quotes/albert-ellis/for-that-again-is-what-all-manner-of-religion-essentially-is-childish/) [Albert Ellis](https://sms4smile.com/quotes/author/albert-ellis/) > [Thinking rationally is often different from "positive thinking," in that it is a realistic assessment of the situation, with a view towards rectifying the…](https://sms4smile.com/quotes/albert-ellis/thinking-rationally-is-often-different-from-positive-thinking-in-that/) [Albert Ellis](https://sms4smile.com/quotes/author/albert-ellis/) > [People are terrified of other people or difficult projects because they tell themselves that they could fail or be rejected. Failure can lead to…](https://sms4smile.com/quotes/albert-ellis/people-are-terrified-of-other-people-or-difficult-projects-because/) [Albert Ellis](https://sms4smile.com/quotes/author/albert-ellis/) [Explore all 132 Albert Ellis quotes ](https://sms4smile.com/quotes/author/albert-ellis/) ## More Mental health quotes > [You practice mindfulness, on the one hand, to be calm and peaceful. On the other hand, as you practice mindfulness and live a life…](https://sms4smile.com/quotes/anonymous/you-practice-mindfulness-on-the-one-hand-to-be-calm-and-peaceful-on/) [Anonymous](https://sms4smile.com/quotes/author/anonymous/) > [But I already saw no great difference between the psyche and spirituality. To amass knowledge without becoming wise is not my idea of progress…](https://sms4smile.com/quotes/m-scott-peck/but-i-already-saw-no-great-difference-between-the-psyche-and/) [M. Scott Peck](https://sms4smile.com/quotes/author/m-scott-peck/) > [If you have time to be mindful, you have time to meditate.](https://sms4smile.com/quotes/ajahn-chah/if-you-have-time-to-be-mindful-you-have-time-to-meditate/) [Ajahn Chah](https://sms4smile.com/quotes/author/ajahn-chah/) > [Mental health is an issue close to my heart - an issue, indeed, I've covered repeatedly for Channel 4 News.](https://sms4smile.com/quotes/cathy-newman/mental-health-is-an-issue-close-to-my-heart-an-issue-indeed-i-ve/) [Cathy Newman](https://sms4smile.com/quotes/author/cathy-newman/) > [“Mindfulness is an invitation to change that pattern and to become aware of where we are and how we got here. Mindfulness gives us…](https://sms4smile.com/quotes/maia-duerr/mindfulness-is-an-invitation-to-change-that-pattern-and-to-become/) [Maia Duerr](https://sms4smile.com/quotes/author/maia-duerr/) > [“Good morning,” one of the soldiers said. “I’m Captain Joseph Walker and this is Sergeant James Vanetten. We are members of the One-Hundred-and-First Airborne…](https://sms4smile.com/quotes/shafter-bailey/good-morning-one-of-the-soldiers-said-i-m-captain-joseph-walker-and/) [Shafter Bailey](https://sms4smile.com/quotes/author/shafter-bailey/) > [Life is a collection of moments. Mindfulness is beautification of the moments.](https://sms4smile.com/quotes/amit-ray/life-is-a-collection-of-moments-mindfulness-is-beautification-of-the/) [Amit Ray](https://sms4smile.com/quotes/author/amit-ray/) > [“For example, the sound of the telephone can make us irritated and anxious. That is the sound of the telephone which comes as a…](https://sms4smile.com/quotes/th-ch-nh-t-h-nh/for-example-the-sound-of-the-telephone-can-make-us-irritated-and/) [Thích Nhất Hạnh](https://sms4smile.com/quotes/author/th-ch-nh-t-h-nh/) > [Music is almost like a therapy for me. It helps keep me centered and think straight. Before I discovered it, I was walking around,…](https://sms4smile.com/quotes/banks/music-is-almost-like-a-therapy-for-me-it-helps-keep-me-centered-and/) [Banks](https://sms4smile.com/quotes/author/banks/) > [“Recognize that your attention is the most valuable thing you can ever own, and you alone have the ultimate power to choose where to…](https://sms4smile.com/quotes/sol-luckman/recognize-that-your-attention-is-the-most-valuable-thing-you-can-ever/) [Sol Luckman](https://sms4smile.com/quotes/author/sol-luckman/) > [“What I would say is this: writing poems doesn't make you a poet. … It is only with poetry, for some reason, that everyone…](https://sms4smile.com/quotes/franz-wright/what-i-would-say-is-this-writing-poems-doesn-t-make-you-a-poet-it-is/) [Franz Wright](https://sms4smile.com/quotes/author/franz-wright/) > [“The word ghost sounds like memory. The word therapy means exorcism”](https://sms4smile.com/quotes/laurie-halse-anderson/the-word-ghost-sounds-like-memory-the-word-therapy-means-exorcism/) [Laurie Halse Anderson](https://sms4smile.com/quotes/author/laurie-halse-anderson/) > [For years mental health professionals taught people that they could be psychologically healthy without social support, that “unless you love yourself, no one else…](https://sms4smile.com/quotes/bruce-d-perry/for-years-mental-health-professionals-taught-people-that-they-could/) [Bruce D. Perry](https://sms4smile.com/quotes/author/bruce-d-perry/) > [“Blaming therapy, social work and other caring professions for the confabulation of testimony of 'satanic ritual abuse' legitimated a programme of political and social…](https://sms4smile.com/quotes/michael-salter/blaming-therapy-social-work-and-other-caring-professions-for-the/) [Michael Salter](https://sms4smile.com/quotes/author/michael-salter/) > [Make no mistake: conversion therapy is not about 'praying away the gay.' It's an emotional torture against our most innocent citizens: our children.](https://sms4smile.com/quotes/gavin-newsom/make-no-mistake-conversion-therapy-is-not-about-praying-away-the-gay/) [Gavin Newsom](https://sms4smile.com/quotes/author/gavin-newsom/) [Browse all 3,803 Mental health quotes ](https://sms4smile.com/quotes/about/mental-health/) ```json { "@context": "https://schema.org", "@graph": [ { "@type": "Quotation", "text": "In the old days we used to get more referrals, because people had insurance that paid for therapy. Now they belong to HMOs, and we can only be affiliated with a few HMOs.", "creator": { "@type": "Person", "name": "Albert Ellis" }, "isPartOf": { "@id": "https://sms4smile.com/quotes/#website" }, "url": "https://sms4smile.com/quotes/albert-ellis/in-the-old-days-we-used-to-get-more-referrals-because-people-had/", "about": { "@type": "Thing", "name": "Mental health" }, "@id": "https://sms4smile.com/quotes/albert-ellis/in-the-old-days-we-used-to-get-more-referrals-because-people-had/#quotation", "image": { "@type": "ImageObject", "@id": "https://sms4smile.com/quotes/i/a6e/albert-ellis-3379_mental-health_in-the-old-days-we-used-to-get-more-refe_2692319.jpg", "contentUrl": "https://sms4smile.com/quotes/i/a6e/albert-ellis-3379_mental-health_in-the-old-days-we-used-to-get-more-refe_2692319.jpg", "url": "https://sms4smile.com/quotes/i/a6e/albert-ellis-3379_mental-health_in-the-old-days-we-used-to-get-more-refe_2692319.jpg", "width": 1080, "height": 1080, "caption": "“In the old days we used to get more referrals, because people had insurance that paid for therapy. Now they…” — Albert Ellis", "creditText": "SMS4Smile Quotes", "creator": { "@id": "https://sms4smile.com/quotes/#organization" } } }, { "@type": "BreadcrumbList", "itemListElement": [ { "@type": "ListItem", "position": 1, "name": "Home", "item": "https://sms4smile.com/" }, { "@type": "ListItem", "position": 2, "name": "Quotes", "item": "https://sms4smile.com/quotes/" }, { "@type": "ListItem", "position": 3, "name": "Albert Ellis", "item": "https://sms4smile.com/quotes/author/albert-ellis/" }, { "@type": "ListItem", "position": 4, "name": "In the old days we used...", "item": "https://sms4smile.com/quotes/albert-ellis/in-the-old-days-we-used-to-get-more-referrals-because-people-had/" } ], "@id": "https://sms4smile.com/quotes/albert-ellis/in-the-old-days-we-used-to-get-more-referrals-because-people-had/#breadcrumb" }, { "@type": "WebSite", "@id": "https://sms4smile.com/quotes/#website", "name": "SMS4Smile Quotes", "url": "https://sms4smile.com/quotes/", "publisher": { "@id": "https://sms4smile.com/quotes/#organization" } }, { "@type": "Organization", "@id": "https://sms4smile.com/quotes/#organization", "name": "SMS4Smile Quotes", "url": "https://sms4smile.com/quotes/", "logo": { "@type": "ImageObject", "url": "https://sms4smile.com/quotes/wp-content/themes/sq/assets/icons/icon-512.png", "width": 512, "height": 512 } } ] } ```