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Compensation of radiologists.

The compensation of radiologists for professional services to patients has shifted in the past half century from a strong reliance on hospital billing and payment to a pattern of financial independence of radiology groups. The laws and regulations creating the Medicare program were instrumental in spurring the transition for many. With the advent of managed care programs, employer self-insurance for health costs and pending state and federal health reform efforts, radiology compensation patterns are likely to undergo further changes to make them compatible with new payment mechanisms.

Fees, Medical↗

Medicare program; Medicare Economic Index update for 1991--HCFA. Notice.

This notice updates the Medicare Economic Index (MEI), which is used to calculate the prevailing charge levels that help to determine reasonable charges for certain physician services under the Medicare Supplementary Medical Insurance (part B) program. As mandated by section 4105 of Public Law 101-508, for physician services furnished on or after January 1, 1991, and before January 1, 1992, the increase for primary care services will be 2 percent. There will be no increase for all other physician services.

Abstracting and Indexing↗

Why such a hurry?

Over the past decade or so, federal health policy has chased health care costs that grew out of control largely because of federal intervention in the form of the Medicare/Medicaid programs. Having implemented a prospective pricing system for institutional providers, the government has followed up with a resource-based relative value system for physicians. The prognosis for this new effort may be no better than that for past attacks on health care costs, and the outcome could be substantially worse.

Canada↗

Medicare's physician payment reform.

The Omnibus Budget Reconciliation Act (OBRA) of 1989 continues the recent tradition of including far-reaching legislation in what ostensibly is a budget act. The Physician Payment Reform section of OBRA '89 amends Part B of Title XVIII of the Social Security Act by the addition of Section 1848. This article reviews the major substance of the amendment and analyzes the economic effects of the new section on the stakeholders (payers, providers, and consumers).

Fee Schedules↗

Medicare expenditures for physician and supplier services, 1970-88.

The trend data in this article focus on Medicare expenditures and allowed charges for physician and supplier services rendered during the period from 1970 through 1988. A brief overview is presented on the provisions of the new Medicare physician payment system mandated by Congress and scheduled to be phased in starting January 1, 1992. The data provide one of the baselines that could be used for measuring and evaluating the impact of the new Medicare payment system for physician services.

Abstracting and Indexing↗