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Reforming Physician Payment : Report of a Conference.

Detalles Bibliográficos
Clasificación:Libro Electrónico
Formato: Electrónico eBook
Idioma:Inglés
Publicado: Washington : Boulder : National Academies Press, NetLibrary, Incorporated [distributor] 1984 ;
Colección:Online access: NCBI NCBI Bookshelf.
Temas:
Acceso en línea:Texto completo
Tabla de Contenidos:
  • ""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 Commitment TO THOSEâ€?""""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""