Fixing Medicare's Physician Payment System

Reforming Medicare's physician payment system.

n engl j med 360;7 nejm.org february 12, 2009 653 fees.1 Congress appropriately feared the potential problems with access to care that could result from such a fee reduction. But although putting more money into the same broken physician-reimbursement system may buy lawmakers a little more time to address the need for a new one — helpful only if they use it to set the direction for a new system...

Fixing the Payment System at Alvalade XXI

1 In August 2003, while many Europeans were heading to the beaches to mitigate the effects of the worst heat wave on record, José Eduardo Sampaio, the CEO of Casa XXI, was faced with another kind of heat. Cartão 21, the innovative payment system of Casa XXI that he had personally conceived and subcontracted, had dramatically failed on August 6 th during the high-visibility inauguration of Alval...

Medicare Payment for Physician Services

INCREASING ATTENTION is being given by public policymakers to alternative ways by which Medicare might pay for physician services. (l-l 3). Among the many approaches under consideration are modifying the existing fee-for-service system; establishing prospectively set rates for bundles of services, such as payment based on diagnosis-related groups; developing uniform fee schedules; paying fixed ...

Effects of Physician Payment Methods

Physician payment policy in the 101st Congress.