Related Experiment Videos
Charge profiles, RBRVS data and pre-estimates: a lesson in fee setting
1Automated Medical Claims Editing, Inc., New York City.
Benefits Quarterly
|December 9, 1993
Summary
This study presents a simple reimbursement level setting method. When combined with physician negotiation, it offers effective healthcare cost control.
Area of Science:
- Health Economics
- Healthcare Management
Background:
- Healthcare costs are a significant concern.
- Effective cost-control mechanisms are needed.
Purpose of the Study:
- To describe a novel method for setting reimbursement levels.
- To evaluate its potential as a cost-control mechanism.
Main Methods:
- The study describes a method for setting reimbursement levels.
- It considers combining this method with physician negotiation programs.
Main Results:
- The described reimbursement method is simple.
- It may be highly effective for cost control, especially with physician negotiation.
Conclusions:
- The proposed reimbursement level setting method is a potentially powerful and simple cost-control tool.
- Its combination with physician negotiation enhances its effectiveness.