HEALTH AND PUBLIC POLICY COMMITTEE*
Increasing attention is being given by public policy-makers to alternative ways by which Medicare might pay for physician services. (1-13). Among the many approaches under consideration are modifying the existing fee-for-service system; establishing prospectively set rates for bundles of services, such as payment based on diagnosis-related groups; developing uniform fee schedules; paying fixed indemnity amounts; linking payments to relative value scales; paying on a capitation basis; or implementing a voucher system.
This position paper first reviews the historical background of Medicare payment of physicians, then identifies fundamental principles and objectives that the American College of Physicians believes should apply. These
. Medicare Payment for Physician Services. Ann Intern Med. 1987;106:151–163. doi: 10.7326/0003-4819-106-1-151
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Published: Ann Intern Med. 1987;106(1):151-163.
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