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J Health Polit Policy Law (1997) 22 (6): 1413–1431.
Published: 01 December 1997
... 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...
J Health Polit Policy Law (1979) 4 (1): 48–86.
Published: 01 February 1979
... those promulgated by the California Medical Association. Both government health programs and private medical service insurance plans, particularly Blue Shield plans and “Foundations for Medical Care now use professionally sponsored RVSs or modified versions thereof to help construct fee...
J Health Polit Policy Law (2015) 40 (4): 745–760.
Published: 01 August 2015
...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...
J Health Polit Policy Law (2007) 32 (5): 843–865.
Published: 01 October 2007
... damage limits, and attorney fee limits—an unintended and counterproductive effect of reform—but are lower with mandatory pretrial screening and patient compensation funds. Duke University Press 2007 A. M. Best Company. 1999-2003 . Medical Malpractice State/Line Report . Oldwick, NJ: A. M. Best...
J Health Polit Policy Law (2009) 34 (2): 157–179.
Published: 01 April 2009
... 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...
J Health Polit Policy Law (1982) 7 (1): 197–226.
Published: 01 February 1982
.... 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...
J Health Polit Policy Law (2018) 43 (6): 1025–1040.
Published: 01 December 2018
... ) announced the goal of tying 90 percent of all Medicare fee-for-service payments to “quality or value” by 2018. MACRA moved Medicare closer to that goal. Now that the SGR is gone, Congress, the Centers for Medicare and Medicaid Services (CMS), and the medical profession are grappling...
J Health Polit Policy Law (1986) 10 (4): 613–623.
Published: 01 August 1986
... 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...
J Health Polit Policy Law (1992) 17 (4): 689–714.
Published: 01 August 1992
... 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...
J Health Polit Policy Law (1997) 22 (2): 595–631.
Published: 01 April 1997
... 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...
J Health Polit Policy Law (1996) 21 (3): 461–488.
Published: 01 June 1996
... 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...
J Health Polit Policy Law (1988) 13 (1): 1–25.
Published: 01 February 1988
... 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...
J Health Polit Policy Law (2004) 29 (3): 359–396.
Published: 01 June 2004
... 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...
J Health Polit Policy Law (1978) 3 (2): 278–283.
Published: 01 April 1978
.... 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...
J Health Polit Policy Law (2003) 28 (2-3): 289–316.
Published: 01 June 2003
... 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...
J Health Polit Policy Law (1992) 17 (4): 739–762.
Published: 01 August 1992
... of the “recession breakout” of 1982, are three in number. 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...
J Health Polit Policy Law (2018) 43 (5): 771–791.
Published: 01 October 2018
... : 1629 – 39 . Laugesen Miriam J. 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...
J Health Polit Policy Law (2005) 30 (1-2): 97–120.
Published: 01 April 2005
... 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...
J Health Polit Policy Law (1992) 17 (4): 763–782.
Published: 01 August 1992
... 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...
J Health Polit Policy Law (1990) 15 (1): 101–128.
Published: 01 February 1990
... 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...