Juba D A
Health Care Financ Rev. 1987 Spring;8(3):57-67.
Three key research questions are identified and analyzed in this article. First is an investigation of whether Medicare already pays physicians using de facto fee schedules. Evidence from South Carolina suggests not. Second is an evaluation of the physician procedures and specialties likely to be affected by imposition of a Medicare fee schedule. Medical visits are identified as especially susceptible. Third is a report on simulated effects of a charge-based fee schedule on Medicare program payments, physicians' practice revenues, and beneficiaries' liabilities.
本文确定并分析了三个关键研究问题。首先是调查医疗保险是否已经在使用事实上的收费标准向医生支付费用。来自南卡罗来纳州的证据表明并非如此。其次是评估可能受到医疗保险收费标准实施影响的医生诊疗程序和专业。医疗就诊被认为特别容易受到影响。第三是一份关于基于收费的收费标准对医疗保险计划支付、医生执业收入和受益人的负债产生的模拟影响的报告。
