Doctor pay strategies grow in complexity

Article Abstract:

Physician pay strategies are gradually shifting from fee-for-service structures to fee capitation plans. Although fee-for-service is still used in the Medicare program, doctors must cap patient volume. Medicare's volume performance standard requires doctors to increase their volume growth each year by the program's five-year historical trend minus 4%, even if the volume growth is already low. Physicians are also under pressure from managed care groups to control volume as well as cost, and may need to band together to share the actuarial advice, computer systems and market information that they need to succeed financially.

Administration of Public Health Programs, Physicians & Surgeons, Offices of Physicians (except Mental Health Specialists), Medicare B, Management, Evaluation, Finance

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Getting your attention

Article Abstract:

Some meeting planners trying to encourage attendance at medical meetings try various novelties, including interactive computer devices, to involve participants in the proceedings. Also, many specialty groups are providing child care to accommodate doctors' families. Cities compete to attract more medical meetings, for financial reasons, but certain locations have been boycotted because of controversial legislation. A number of doctors say they prefer meetings in places that offer attractions, such as sports, while others seem indifferent to the location of a meeting.

Business services, not elsewhere classified, Methods, Conferences, meetings and seminars, Meeting planners

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Survey confirms doctors not satisfied with RBRVS

Article Abstract:

A majority of physicians think Medicare's payment scale is too low, according to results of a survey conducted for the Physician Payment Review Commission. Doctors who billed Medicare reported that in the first six months of 1992, 41% received lower payments compared to the previous year, 26% reported equal payments and 19% said their payments increased. Rural doctors and nonproceduralists are more likely to receive increased payments. Further analysis of survey statistics is provided.

Admin. of public health programs, Compensation and benefits, Economic policy, Public opinion

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