[PDF] Medical Fee Schedule eBook

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Medicare Laboratory Payment Policy

Author : Institute of Medicine
Publisher : National Academies Press
Page : 261 pages
File Size : 46,57 MB
Release : 2000-12-04
Category : Medical
ISBN : 0309183618

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Clinical laboratory tests play an integral role in helping physicians diagnose and treat patients. New developments in laboratory technology offer the prospect of improvements in diagnosis and care, but will place an increased burden on the payment system. Medicare, the federal program providing coverage of health-care services for the elderly and disabled, is the largest payer of clinical laboratory services. Originally designed in the early 1980s, Medicare's payment policy methodology for outpatient laboratory services has not evolved to take into account technology, market, and regulatory changes, and is now outdated. This report examines the current Medicare payment methodology for outpatient clinical laboratory services in the context of environmental and technological trends, evaluates payment policy alternatives, and makes recommendations to improve the system.

Fixing Medical Prices

Author : Miriam Laugesen
Publisher : Harvard University Press
Page : 286 pages
File Size : 15,34 MB
Release : 2016-11-21
Category : Business & Economics
ISBN : 0674545168

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Introduction: The house of medicine and medical prices -- The enduring influence of the house of medicine over prices -- The science of work and payment reform -- How doctors get paid -- Conflicts of interest and problems of evidence -- Complexity, agency capture, and the game of codes -- Fixing medical prices