Welch W P, Miller M E
Urban Institute.
Health Aff (Millwood). 1994 Fall;13(4):42-57. doi: 10.1377/hlthaff.13.4.42.
Several health care reform bills would limit Medicare payments to high-cost medical staffs, that is, physicians in hospitals with a high volume of physician services per admission. In a given year, Medicare's payment to the physicians on each hospital's medical staff could not collectively exceed a limit defined as a certain percentage above the national median. Limits of various forms are used in other parts of the Medicare program. This policy would combine cost containment incentives with a clear organizational structure. In addition, medical staffs could be provided with detailed information on their practice styles.
多项医疗保健改革法案将限制医疗保险向高成本医疗人员支付费用，即向每次入院时医生服务量高的医院中的医生支付费用。在某一年，医疗保险向每家医院医疗人员中的医生支付的费用总额不能超过一个被定义为高于全国中位数一定百分比的限额。医疗保险计划的其他部分也采用了各种形式的限额。这项政策将成本控制激励措施与清晰的组织结构相结合。此外，可以向医疗人员提供有关其执业方式的详细信息。
