Reforming physician payment : report of a conference / [prepared by the staff of the] Institute of Medicine, Division of Health Care Services.

Format:

Book

Contributor:

Institute of Medicine (U.S.). Division of Health Care Services.

Language:

English

Subjects (All):

Medical care, Cost of--Congresses.

Medical care, Cost of.

Medical economics--Congresses.

Medical economics.

Physical Description:

1 online resource (v, 114 pages).

Edition:

1st ed.

Place of Publication:

Washington, D.C. : National Academy Press, 1984.

Language Note:

English

Contents:

""REFORMING PHYSICIAN PAYMENT""; ""Copyright""; ""Contents""; ""PREFACE""; ""CONFERENCE SUMMARY""; ""Conference Agenda""; ""Major Conference Themes""; ""A Climate for Change""; ""A Need for Change""; ""Non-economic Influences on Physician Behavior""; ""Payment Objectives""; ""Paucity of Data and Research Findings""; ""Potential Contributions by the Institute of Medicine""; ""COMMISSIONED PAPERS""; ""POLITICS AS USUAL AND CUSTOMARY? PHYSICIAN PAYMENT IN TRANSITION ""; ""THE PERPLEXING TARGET OF POLICY""; ""THE RISE AND DECLINE OF USUAL AND CUSTOMARY""; ""FORCES FOR CHANGE""

""PROSPECTS FOR CHANGE"" ""CHALLENGES OF CHANGE""; ""References""; ""CHANGING PHYSICIAN BEHAVIOR: In Search of the Little Blue Button""; ""SUMMARY""; ""INTRODUCTION""; ""PRIMARY INFLUENCES""; ""ENVIRONMENTAL CHANGES""; ""NEW RESEARCH INITIATIVES""; ""References""; ""THE IMPACT OF CHANGES IN PAYMENT METHODS ON THE SUPPLY OF PHYSICIANS' SERVICES""; ""INTRODUCTION""; ""THE PAYMENT SYSTEM AND PHYSICIANS' SPECIALTY AND LOCATION DECISIONS""; ""Location Choices""; ""Specialty Choice""; ""PHYSICIANS' PRODUCTIVITY""; ""Defining Efficiency and Productivity""

""Productivity in Solo, Fee-for-Service Practice"" ""Productivity in Group, Fee-for-Service Practices""; ""Productivity in Pre-Paid Group Practice""; ""PARTICIPATION IN HEALTH INSURANCE PROGRAMS""; ""CONCLUSIONS""; ""References""; ""THIRD PARTY CARRIER PERSPECTIVE ON PHYSICIAN PAYMENT""; ""PAYMENT IS A MEANS, NOT AN END""; ""The Patient""; ""The Physician""; ""The Payor""; ""The Public""; ""The Carrier""; ""THERE ARE FUNDAMENTAL DIFFERENCES BETWEEN INSTITUTION-CARRIERS AND PROFESSIONAL-CARRIER RELATIONSHIPS""; ""Specialization""; ""Location""; ""Target Income""; ""Controls""; ""Competition""

""Dissatisfaction"" ""A PAYMENT SYSTEM SHOULD BE IN REASONABLE SYNCHRONIZATION WITH THE EVOLUTION OF THE SOCIAL AND DELIVERY SYSTEMS""; ""PAYMENT SYSTEMS ARE DESIGNED FOR SPECIFIC BENEFIT, ADMINISTRATIVE, AND LEGAL CIRCUMSTANCES""; ""FEE-FOR-SERVICE PAYMENTS ARE GOVERNED PRIMARILY BY THE MARKET""; ""ALL PAYMENT SYSTEMS CARRY INCENTIVES FOR SPECIFIC TYPES OF BEHAVIOR""; ""The Payment System""; ""The Utilization Control System""; ""Benefit Design""; ""Medical Policy""; ""Physician Education""; ""Claims Analysis and Intervention""

""PAYMENT SYSTEMS ARE CONSTRAINED BY THE OBJECTIVES OF THE BUYER AND BY HIS PHILOSOPHY AND THE DEGREE OF COMMITMENT TO THOSE""""ANTITRUST AND PHYSICIAN PAYMENT""; ""THE ORIGINS AND ELEMENTS OF ANTITRUST ANALYSIS""; ""Historical Underpinnings""; ""The Antitrust Statutes""; ""Elements of Analysis""; ""Application of the Antitrust Laws to the Professions""; ""EFFECT OF ANTITRUST ON PROFESSIONAL PRACTICE""; ""THE EFFECT OF THE ANTITRUST LAWS ON INSURERS""; ""NEW METHODS FOR PAYING PHYSICIANS""; ""SUMMARY AND CONCLUSIONS""; ""FOOTNOTES""; ""PHYSICIAN PAYMENT METHODS: FORMS AND LEVELS OF PHYSICIAN COMPENSATION ""

Notes:

Summary of a conference entitled Strategies for Reform of Physician Payment, held on Oct. 27 and 28, 1983, at the National Academy of Sciences, Washington, D.C.

OCLC:

58654276