Paying the Doctor

Paying the Doctor

Author: Jonathan D. Moreno

Publisher: Praeger

Published: 1991

Total Pages: 214

ISBN-13:

DOWNLOAD EBOOK

Although it does not seem unusual to us that professionals be compensated for the product or service they provide, there are some professions that make us feel uncomfortable with the necessity of payment. Paying the Doctor explores this dilemma as it relates to the health care field. It analyzes and explains the roles of the health care provider, patient, and market influences in cost and reimbursement. Part introductions to each section familiarize the reader with the specific concerns it contains, and an overall conclusion describes the major points of a planned future payment system. The goal of this volume was to create a book that was general enough to serve as an introduction for members of the health care field and sophisticated enough to appeal also to researchers. To achieve this, editor Jonathan Moreno enlists the aid of a diverse group of professionals: health care providers, economists, historians, philosophers, and others. They begin by providing a series of studies that describe and apply various frameworks for analyzing physician payment, the first of which shows exactly what an enormous challenge the entire subject of reimbursement poses. The following section studies various payment mechanisms. Successive sections study specific professional groups and the Medicare system. Based on this information, a new payment system expected to be introduced within a few years is discussed.


Medicare Physician Payments

Medicare Physician Payments

Author: James C. Cosgrove

Publisher: DIANE Publishing

Published: 2010-02

Total Pages: 35

ISBN-13: 1437921485

DOWNLOAD EBOOK

Medicare¿s physician fees may not always reflect efficiencies that occur when a physician performs multiple services for the same patient on the same day, and some resources required for these services do not need to be duplicated. This report examined: (1) the Centers for Medicare and Medicaid Services¿ (CMS) efforts to set appropriate fees for services furnished together; and (2) additional opportunities for CMS to avoid excessive payments when services are furnished together. The report examined relevant policies, laws, and regulations; interviewed CMS officials and others; and analyzed claims data to identify opportunities for further savings. Includes recommendations. Charts and tables.