Physician Response to Target-Based Performance Payment

A competitive bidding approach to physician payment.

Access to Care Under Physician Payment Reform: A Physician-Based Analysis

This article reports physician-based measures of access to care during the 3 years surrounding the 1989 physician payment reforms. Analysis was facilitated by a new system of physician identifiers in Medicare claims. Access measures include caseload per physician and related measures of the demographic composition of physicians' clientele, the proportion of physicians performing surgical and ot...

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...

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