Fee-for-Service Payment Is Not the (Main) Problem

Details

• Personal Author:
  Dowd BE ; Laugesen MJ
• Description:
  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. [Description provided by NIOSH]
• Subjects:
  Economics Occupational Health Safety
• Keywords:
  Author Keywords: Centers For Medicare And Medicaid Services Cost Analyses Cost Estimates Economic Analysis Fee-for-service Fees Health Care Health Care Expenditure Medicare Payment Reform Physicians Policy Reimbursement

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• ISSN:
  0017-9124
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  Minnesota ; New York ; OSHA Region 2 ; OSHA Region 5
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  491-495
• Volume:
  55
• Issue:
  4
• NIOSHTIC Number:
  nn:20064223
• Citation:
  Health Serv Res 2020 Aug; 55(4):491-495
• Contact Point Address:
  Bryan E. Dowd, PhD, University of Minnesota, Minneapolis, MN
• Email:
  dowdx001@UMN.EDU
• Federal Fiscal Year:
  2020
• Performing Organization:
  University of Minnesota Twin Cities
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  Health Services Research
• End Date:
  20250630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:41efb60d5c9e8ec7812643ba01ab8e5e7e2c437991de3e2280d779a9b22f4566e8a3a6cd7880787a84dd6ce2d233665c8250e8d0a4d7c50312dc25b2cb312c91
• Download URL:
  https://stacks.cdc.gov/view/cdc/222726/cdc_222726_DS1.pdf
• File Type:
  [PDF - 422.19 KB ]