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Related Experiment Videos

Plans' execs mixed on impact of fee schedule.

P J Kenkel

    Modern Healthcare
    |July 15, 1991
    PubMed
    Summary
    This summary is machine-generated.

    Medicare's new physician fee schedule may shift costs from specialists to primary care providers. However, many healthcare plans anticipate minimal impact due to existing payment structures.

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    Area of Science:

    • Health Policy
    • Healthcare Economics
    • Medical Practice Management

    Background:

    • Medicare's physician fee schedule is undergoing a significant update, impacting payment rates for various medical specialties.
    • The revised schedule aims to rebalance payments, increasing compensation for primary care physicians while decreasing it for specialists.

    Purpose of the Study:

    • To assess the anticipated impact of Medicare's updated physician fee schedule on healthcare plans and medical groups.
    • To understand concerns regarding potential cost shifting between physician specialties.

    Main Methods:

    • Analysis of healthcare executive sentiment regarding the new Medicare physician fee schedule.
    • Evaluation of the potential financial implications of revised payment rates for different medical providers.

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    Main Results:

    • Healthcare executives express divided opinions on the forthcoming Medicare physician fee schedule.
    • Concerns exist about potential cost shifting from specialists to primary care providers due to payment adjustments.
    • Some anticipate minimal financial effects, citing the prevalence of resource-based payment models in prepaid healthcare plans.

    Conclusions:

    • The implementation of Medicare's physician fee schedule may lead to varied financial outcomes for healthcare providers.
    • The actual impact will likely depend on existing payment methodologies and the degree of payment rebalancing.