ous elements of a payment methodology are described and form the framework for analyzing the current outpatient clinical laboratory payment system.

The last three chapters present the committee’s conclusions about the current payment system and possible alternatives. Chapter 5 assesses the current system in light of the payment policy goals that the committee has articulated in this chapter. Chapter 6 examines alternative payment methods that could be used by Medicare. Chapter 7 presents the committee’s recommendations, based on its assessment of the current system and the benefits and feasibility of several modifications to it.


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