Reforming physician payment : report of a conference /
Reforming physician payment : report of a conference /
[prepared by the staff of the] Institute of Medicine, Division of Health Care Services.
- Washington, D.C. : National Academy Press, 1984.
- 1 online resource (v, 114 pages).
- Publication IOM ; 85-001 .
- IOM publication ; 85-001. .
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. "Publication IOM-85-001"--Title page verso.
Includes bibliographical references.
""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 COMMITTMENT 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""
0309577683 9780309577687
Medical care, Cost of--Congresses.
Medical care--Cost control--Congresses.
Medical economics--Congresses.
Medical economics.
Medical fees.
Physicians.
Economics, Medical
Fees, Medical
Physicians
Salaries and Fringe Benefits
Soins médicaux--Coût--Congrès.
Soins médicaux--Coût--Contrôle--Congrès.
Économie de la santé--Congrès.
Économie de la santé.
Médecins--Honoraires.
Médecins.
physicians.
BUSINESS & ECONOMICS--Industries--General.
Physicians
Medical fees
Medical care--Cost control
Medical care, Cost of
Medical economics
United States
Congress
proceedings (reports)
Conference papers and proceedings
Conference papers and proceedings.
Actes de congrès.
RA410.53 / .R34 1983eb
338.433621
W 79 / R332 1983
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. "Publication IOM-85-001"--Title page verso.
Includes bibliographical references.
""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 COMMITTMENT 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""
0309577683 9780309577687
Medical care, Cost of--Congresses.
Medical care--Cost control--Congresses.
Medical economics--Congresses.
Medical economics.
Medical fees.
Physicians.
Economics, Medical
Fees, Medical
Physicians
Salaries and Fringe Benefits
Soins médicaux--Coût--Congrès.
Soins médicaux--Coût--Contrôle--Congrès.
Économie de la santé--Congrès.
Économie de la santé.
Médecins--Honoraires.
Médecins.
physicians.
BUSINESS & ECONOMICS--Industries--General.
Physicians
Medical fees
Medical care--Cost control
Medical care, Cost of
Medical economics
United States
Congress
proceedings (reports)
Conference papers and proceedings
Conference papers and proceedings.
Actes de congrès.
RA410.53 / .R34 1983eb
338.433621
W 79 / R332 1983