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What Cornerstone Is Best for Physician Payment Reform?

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Harvard School of Public Health, Boston; and Brockton- West Roxbury Veterans Administration Medical Center, West Roxbury, Massachusetts

Ann Intern Med. 1987;106(3):468-470. doi:10.7326/0003-4819-106-3-468
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Physician payment reform is under way. The only question is the form it will take and how dramatic the effects will be on physicians and the recipients of health care. Pressures for reform stem from many causes: the rapid rise in overall medical care costs; the public's perception that physicians' fees and, in some instances, physicians' incomes are excessive; and the views of physicians and policy analysts alike that important distortions exist in current fees. Much criticism of the current customary, prevailing, and reasonable (CPR) system has focused on "overpriced" diagnostic and surgical procedures and the resulting financial incentives for


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