Paying the doctor : health policy and physician reimbursement

Bibliographic Information

Paying the doctor : health policy and physician reimbursement

edited by Jonathan D. Moreno

Auburn House, 1991

Available at  / 4 libraries

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Note

Includes bibliographical references (p. [187]-188) and index

Description and Table of Contents

Description

Although it does not seem unusual to us that professionals be compensated for the product or service they provide, there are some professions that make us feel uncomfortable with the necessity of payment. Paying the Doctor explores this dilemma as it relates to the health care field. It analyzes and explains the roles of the health care provider, patient, and market influences in cost and reimbursement. Part introductions to each section familiarize the reader with the specific concerns it contains, and an overall conclusion describes the major points of a planned future payment system. The goal of this volume was to create a book that was general enough to serve as an introduction for members of the health care field and sophisticated enough to appeal also to researchers. To achieve this, editor Jonathan Moreno enlists the aid of a diverse group of professionals: health care providers, economists, historians, philosophers, and others. They begin by providing a series of studies that describe and apply various frameworks for analyzing physician payment, the first of which shows exactly what an enormous challenge the entire subject of reimbursement poses. The following section studies various payment mechanisms. Successive sections study specific professional groups and the Medicare system. Based on this information, a new payment system expected to be introduced within a few years is discussed.

Table of Contents

Introduction by Jonathan D. Moreno Analyzing the Issues Professionalism and Physician Reimbursement by Gary Crum The Ethics of Cost-Conscious Physician Reimbursement by Jacqueline Glover and Gail J. Povar Assessing and Paying for Quality by Molla Donaldson Physician Reimbursement: The Lessons of Economics by Mary Ann Baily Assessing Payment Mechanisms Financial Methods for Paying the Doctor: Issues and Options by Steven R. Eastaugh Payment Approaches and the Cost of Care by Robert A. Berenson Taming Medical Technology by Richard K. Riegelman Competitive Medical Organizations: A View of the Future by John E. Ott Dividing Up the Professions Paying the Primary Care Physician by Jack Summer Reimbursement and the Specialists: A Historical Perspective by Robin Curtis and Robert S. Siegel Nurse Practitioners and Physician Assistants: Revenue and Reimbursement by Jean Johnson and James F. Cawley Case Study: Medicare Medicare and Medicaid: The Government as Third Party Payor by James Bonanno Bautz The Origins and Consequences of Medicare by Edward Berkowitz and Wendy Wolff Medicare as a System by L. Gregory Pawlson Conclusion : The Fruits of Reform: A New Payment Scheme by John F. Hoadley Selected Bibliography Index

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