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

Contributor(s): Material type: TextTextSeries: IOM publication ; 85-001.Publication details: Washington, D.C. : National Academy Press, 1984.Description: 1 online resource (v, 114 pages)Content type:
  • text
Media type:
  • computer
Carrier type:
  • online resource
ISBN:
  • 0309577683
  • 9780309577687
Subject(s): Genre/Form: Additional physical formats: Print version:: Reforming physician payment.DDC classification:
  • 338.433621 22
LOC classification:
  • RA410.53 .R34 1983eb
NLM classification:
  • W 79
Online resources:
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 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""
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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.

Print version record.

""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""

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