Planning a Demonstration of Per-Case Reimbursement for Inpatient Physician Services under Medicare

Paul B. Ginsburg, Joseph P. Newhouse, Janet B. Mitchell, Adele Palmer, Marc P. Freiman, Bruce J. Hillman, Phoebe Lindsey Barton, Albert L. Siu

ResearchPublished 1986

It has been proposed that Medicare pay for inpatient physicians' services on a per-case basis, giving physicians an incentive to economize on services delivered in the hospital. This report outlines the design of a possible demonstration of a system of per-case payment and considers the following key issues in developing such a design: (1) selecting the options most attractive to demonstrate, (2) participation in the demonstration, (3) setting payment rates, (4) site selection, and (5) evaluation of the demonstration. The demonstration would seek to determine how alternative methods of paying physicians would affect costs, beneficiary access and financial liability, and health status outcomes or quality of care.

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Document Details

  • Copyright: RAND Corporation
  • Availability: Available
  • Year: 1986
  • Print Format: Paperback
  • Paperback Pages: 100
  • Paperback Price: $25.00
  • Paperback ISBN/EAN: 978-0-8330-0723-0
  • Document Number: R-3378-HCFA

Citation

RAND Style Manual
Ginsburg, Paul B., Joseph P. Newhouse, Janet B. Mitchell, Adele Palmer, Marc P. Freiman, Bruce J. Hillman, Phoebe Lindsey Barton, and Albert L. Siu, Planning a Demonstration of Per-Case Reimbursement for Inpatient Physician Services under Medicare, RAND Corporation, R-3378-HCFA, 1986. As of September 12, 2024: https://www.rand.org/pubs/reports/R3378.html
Chicago Manual of Style
Ginsburg, Paul B., Joseph P. Newhouse, Janet B. Mitchell, Adele Palmer, Marc P. Freiman, Bruce J. Hillman, Phoebe Lindsey Barton, and Albert L. Siu, Planning a Demonstration of Per-Case Reimbursement for Inpatient Physician Services under Medicare. Santa Monica, CA: RAND Corporation, 1986. https://www.rand.org/pubs/reports/R3378.html. Also available in print form.
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