The Decision Process of Fee Schedule

Impact of the Medicare physician fee schedule.

The Impact of Medicaid Adoption of the Medicare Fee Schedule

In this article, the authors simulate the effects on Federal and State Medicaid expenditures of increasing Medicaid fees to Medicare fee schedule (MFS) levels. Strict adoption of the MFS by the States would increase total Medicaid spending by approximately 4 percent, $2.5 to $2.9 billion. Because Medicaid fees vary across States, so does the impact of adopting the MFS. Medicaid spending would i...

An Intermediation Shill-Deterrent Fee Schedule (SDFS)

Internet-based online auctions provide unprecedented opportunities for sellers to submit shill bids. Shill bidding increases the seller’s expected utility but deceives buyers and damages auctioneers’ reputation. Because the anonymity of the Internet makes it difficult to catch shill bidders through statistical analysis or encryption, we suggest that the most effective approach is to make it une...

Allocating Practice Expense Under the Medicare Fee Schedule

Currently, relative value units for practice expense are determined under the Medicare fee schedule (MFS) using historical physician charges. This seems inconsistent with the goal of a resource-based fee schedule. A specialty resource-based method of determining practice expense payments is presented and simulated here. The method assumes that, for each service, the payment for practice expense...

Medicaid Fees and the Medicare Fee Schedule: An Update

This study analyzes changes in Medicaid physician fees from 1990 to 1993. Data were collected on maximum allowable Medicaid fees in 1993 and compared with similar 1990 Medicaid data as well as the fully phased-in Medicare Fee Schedule (MFS). The results suggest that, on average, Medicaid fees have grown roughly 14 percent, but considerable variation continues to exist in how well Medicaid progr...