Reforming Physician Payment Report of a Conference (1984) / Chapter Skim
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Major Conference Themes
Major Conference Themes
Pages 5-7
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From page 5... ...
It offers little or no incentive for physicians to help restrain the growth of expenditures for health care, growth which has put enormous upward pressure on government health budgets and on premiums charged by private insurance plans. It provides large rewards for the provision of high-technology procedures and little or none for preventive and cognitive activities.
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From page 6... ...
Non-economic Influences on Physician Behavior Physicians not only receive 20 percent of all hea 1th expenditures, but also inf luence other expenditures through their medical decisions such as ordering tests, prescribing drugs, and admitting patients to hospitals. Because of their central role in health care, physicians are seen as the key to containing costs, and payment methods as a signif icant influence on physician behavior.
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From page 7... ...
A number of other, more specific objectives were articulated: o o o o o fair compensation of the physician for his time, talents, and the degree of risk involved encouragement of the most appropriate level of care encouragement of care in the most appropriate setting encouragement of cost consciousness on the part of patients and doctors encouragement of good quality medicine facilitation of equitable access to care administrative simplicity. Conference participants noted the potential conflicts and trade-offs among objectives but did not try to resolve them in the short time available.
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