Explain how the Medicare RBRVS reimbursement system was designed to rebalance incomes across specialties and provide more payment for thinking and caring

Discuss statistics on physician incomes using Table 6-3. Explain how the Medicare RBRVS reimbursement system was designed to rebalance incomes across specialties and provide more payment for thinking and caring.

PHYSICIANS

QUESTIONS

  1. How are physicians paid?

. Which types of physicians earn the highest incomes?

  1. How much does it cost to practice medicine? 4. Are malpractice insurance premiums a major cause of higher doctor bills?
  2. Is medical care sold like other goods and services? 6. Who chooses which treatment to use the patient or the doctor?
  3. Why are licensure restrictions more strongly enforced for some types of medical care than for others?
  4. Is the American Medical Association (AMA) a professional society serving science or a union serving the economic interests of its members? Is it both?
  5. Which is more competitive: the market for health insurance or the market for medical care?

At the center of medical practice stands the physician. Physicians direct the flow of patients by controlling admissions referrals regulations insurance reimbursements and prescriptions. A very powerful and special bond exists between doctor and patient. This relationship is based on medical science—and ethics and emotions—as well as economics) Even when a transaction does not directly involve a physician financially the physician still plays a dominant role. In the preceding chapters we discussed health care from the perspective of the patient. Now we switch to the perspective of the provider: not the payer but the payee. For the physician medical expenditures are not costs they are revenues.

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