DRGs for doctor pay: HCFA proposes bundling hospital, physician services

Article Abstract:

The US Health Care Financing Administration's (HCFA) Office of Research and Development are planning a three-year test run of diagnosis-related groups (DGMs) in early 1998. DGMs would combine physician and hospital payments and base Medicare payments on a per-case rate. The AMA and other medical societies rejected a nationwide DGM proposal in 1987, and oppose the current plan unless major modifications are made. The test would be conducted at three to six sites in New Jersey, Pennsylvania, and New York.

Administration of Public Health Programs, Medicare B, Medicare A, Planning, Health care industry, Insurance claims adjustment, United States. Centers for Medicare and Medicaid Services

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Physicians warned of their large stake in hospital DRGs

Article Abstract:

Debate continues on the cost-efficiency of DRGs to the physician's practice. Questioned is whether this economizing of medicine will have a a qualitative effect on medical care to the patient, therefore leading to malpractice suits; physicians be too involved with hospital administration; and it would affect the individuality of medical care.

Prices and rates, Compensation and benefits, Physicians, Medical professions, Medical care, Cost of, Health care costs, Hospitals, Hospital rates

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MD fee freeze, assignment stalled as Congress adjourns

Article Abstract:

Legislators have not yet taken action on the issue of physician's fee freeze. This would affect the base of DRG prices when tied to mandatory assignment.

Admin. of social & manpower programs, Laws, regulations and rules, Social policy, United States. Congress, Reagan, Ronald, Medical fees

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