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Related Concept Videos

Health Information Technology and Healthcare Information System01:30

Health Information Technology and Healthcare Information System

Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Issues And Trends In Healthcare Delivery System01:29

Issues And Trends In Healthcare Delivery System

The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Standards of Care I01:22

Standards of Care I

Federal statutes profoundly impact nursing practice, providing critical guidelines to ensure patient care is equitable, accessible, and of the highest quality. The following laws address distinct aspects of healthcare provision and patient rights:
Preventive Healthcare Services01:30

Preventive Healthcare Services

Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
Standards of Care II01:19

Standards of Care II

Nurses bear specific legal responsibilities under several federal statutes, including:

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Related Experiment Video

Updated: Jun 17, 2026

Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease
06:16

Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease

Published on: August 9, 2024

[Fee schedules and cost containment].

François R Herrmann1, Thomas Perneger

  • 1Service d'epidémiologie clinique, Département de rehabilitation et gériatrie, HUG, 1211 Genève 14. Thomas.Perneger@hcuge.ch

Revue Medicale Suisse
|December 17, 2009
PubMed
Summary
This summary is machine-generated.

Medical fee schedules are crucial for controlling healthcare costs within social health insurance. This study explores justifications and methods for constructing fee schedules, discussing alternatives to fee-for-service models.

Related Experiment Videos

Last Updated: Jun 17, 2026

Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease
06:16

Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease

Published on: August 9, 2024

Area of Science:

  • Health Economics
  • Public Health Policy
  • Healthcare Management

Background:

  • Fee-for-service payment models in healthcare can lead to uncontrolled cost escalation due to unchecked service volume.
  • Existing cost-control measures like audits and practice freezes have significant drawbacks.
  • Socially financed health insurance systems necessitate effective mechanisms for managing medical expenditures.

Purpose of the Study:

  • To examine the rationale for implementing medical fee schedules within socially financed health insurance.
  • To explore various methodologies for constructing effective medical fee schedules.
  • To discuss alternative payment models beyond traditional fee-for-service.

Main Methods:

  • Analysis of the economic implications of fee-for-service tariffs.
  • Review of current cost-containment strategies in healthcare reimbursement.
  • Exploration of alternative healthcare payment structures, including flat fees and quality-based payments.

Main Results:

  • Fee schedules are justified as a tool to control healthcare costs in systems with high service utilization.
  • Traditional fee-for-service lacks inherent cost-control mechanisms.
  • Alternative payment models offer potential solutions to the limitations of fee-for-service.

Conclusions:

  • Medical fee schedules are essential for cost containment in social health insurance.
  • The construction of fee schedules requires careful consideration of economic and practical factors.
  • Exploring and implementing alternative payment models is vital for sustainable healthcare financing.