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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
Fee-for-service payment is not the (main) problem
Bryan E Dowd1, Miriam J Laugesen2
1Division of Health Policy and Management, School of Public Health, University of Minnesota, Minneapolis, Minnesota.
Objective:
To understand the effect of physician payment incentives on the allocation of health care resources.
Data Sources/Study Setting:
Review and analysis of the literature on physician payment incentives.
Study Design:
Analysis of current physician payment incentives and several ways to modify those incentives to encourage increased efficiency.
Principal Findings:
Fee-for-service payments can be incorporated into systems that encourage efficient pricing - prices that are close to the provider's marginal cost - by giving consumers information on provider-specific prices and a strong incentive to choose lower cost providers. However, efficient pricing of services ultimately will need to be supplemented by incentives for efficient production of health and functional status.
Conclusions:
The problem with current FFS payment is not paying a fee for each service, per se, but the way in which the fees are determined.
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