... force physicians to concentrate on total costs. Copyright © 1997 by Duke University Press 1997 References Adams , O. 1994 . Issues in Physician Resource Management. Canadian Medical Association Journal 151 ( 1 ): 92 -95. Alternate Remuneration for Primary Care: Fee...

... as among physicians in the setting of fees. Moreover, the alleged benefits of professionally sponsored relative value studies could be achieved by alternative means that do not similarly restrict competition in the provision of medical services. This essay considers the implications...

...Roger Feldman Abstract A remarkable consensus has developed that the fee-for-service (FFS) approach for paying medical providers must be replaced. This payment approach is said to increase the volume of services without improving care coordination. In response to these calls, Medicare and private...

... damage limits, and attorney fee limits—an unintended and counterproductive effect of reform—but are lower with mandatory pretrial screening and patient compensation funds. A. M. Best Company. 1999-2003 . Medical Malpractice State/Line Report . Oldwick, NJ: A. M. Best Company. American Hospital...

... when fee increases outstripped medical inflation. Physician groups are partly culpable for the failure of cost containment because physician groups have resisted efforts to regulate their practice or link effectiveness research to coverage and reimbursement decisions. In the story of Ulysses...

...Steven B. Spivack; Miriam J. Laugesen; Jonathan Oberlander Abstract Organized medicine long yearned for the demise of Medicare's Sustainable Growth Rate (SGR) formula for updating physician fees. Congress finally obliged in 2015, repealing the SGR as part of the Medicare Access and CHIP...

... can choose where to seek medical services. Providers are paid by a nationally uniform method and rate, which are decided by one central agency. Increases in payment rates are tied to the ceiling set by the government's general expenditure limitations. A uniform fee schedule has helped to control costs...

... populations. We discuss the constraints and opportunities that CHCs face in a health care system that is rapidly moving away from fee-for-service medical care toward a model of managed competition. We describe the role that the National Association of Community Health Centers has played in advocating for CHCs...

... overall hospital expenditures; that is, if HMOs are providing lower-cost care, then the fee-for-service system will be forced to reduce costs in order to be competitive. The authors studied the 25 largest SMSAs from 1971-1981, and controlling for environmental conditions in each market, they examined...

... from favorable selection of healthier enrollees; and preserve the current fee-for-service Medicare program. plans, especially health maintenance organizations (HMOs), can save substantial money for the federal government, while also improving the quality of medical care and scope of covered benefits...

.... rationalization of health care fees and medicine price standards and implementation of rational medical expenditure measures, and, 8. reform of the problems which stand outside of the health in- surance system, such as nurses in attendance, will be sought. ii. With respect...

... and provincial medical care plans. Physicians were still to be paid predominantly by fee-for-service, but the level of those fees would now be a matter of negotiation between represen- tatives of each province’s medical profession and the province. Thus began fifteen (and continuing) years...

.... Bussom, R. S. and Darling, J. R. “Medical Fee and Service Advertising: A Response From Physicians.” Medical Care 16: 1 10-21, February 1978. Butter, I., Wright, G. and Tasca, D. “FMGs in Michigan: A Case of Depend- ence.” Inquiry 15:45-57, March 1978. Daniels, N. “On the Picket Line...

... reimbursed at a rate of 75 percent of the medical fee schedule. Private insurance coverage is available for private hospital costs and for the dif- ference between the public subsidy for physician services up to the full level of the medical fee schedule. About 70 percent of expenditures on pri- vate...

... Press. Barer, M. L., R. G. Evans, and R. J. Labelle. 1988 . Fee Controls as Expenditure Control: Tales from the Frozen North. Milbank Quarterly 66 : 1 -64. Barer, M. L., J. Lomas, and C. Sanmartin. 1996 . Re-Minding Our Ps and Qs: Medical Cost Controls in Canada. Health Affairs 15 (2): 216...

.... First, as noted above, the nature of the Canadian payment system permits it to function very economically in terms of administrative costs, and these have not been rising over time. Second, the medical fee schedules negotiated between the provincial medical associations and governments have...

.... 2009 . “ Siren Song: Physicians, Congress, and Medicare Fees .” Journal of Health Politics, Policy and Law 34 , no. 2 : 157 – 79 . Laugesen Miriam J. 2016 . Fixing Medical Prices: How Physicians Are Paid . Cambridge, MA : Harvard University Press . Laugesen Miriam J...

... care directly from general prac- titioners (GPs) or specialists, and are reimbursed at fairly generous speci- fi ed levels for payment of physician fees and for the cost of laboratory tests and prescription drugs. The physician is free to prescribe any treat- ment she or he deems medically suitable...

... coverage, although it can provide supplementary and amenity (e.g., private hospital room) coverage. Patient financial par- ticipation is minimal. There are no user fees (deductibles or coinsurance) for hospital or medical care. Alberta and British Columbia are the only provinces which retain health...

... this monopoly power, the reimburser can offset the still very significant political and organizational power of physicians .4 The fragmented, multiple-source pay- ment system in the United States has, up till now, completely failed to develop any alternative method of containing medical fee inflation...