Fee controls as cost control: tales from the frozen North


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Publication Topics

Fee controls as cost control: tales from the frozen North

Publication TypeJournal Article
Year of Publication1988
AuthorsBarer ML, Evans RG, Labelle RJ
JournalThe Milbank quarterlyMilbank Q.
Pages1 - 64
Date Published1988
KeywordsBritish Columbia, Canada, Cost Control/methods, Fee Schedules/legislation & jurisprudence, Health Expenditures/statistics & numerical data, Insurance, Hospitalization/legislation & jurisprudence, Insurance, Physician Services/legislation & jurisprudence, National Health Programs/economics, Quebec, United States
AbstractUniform and binding fee schedules for physicians have been advanced as a cost-control strategy that can also improve patient access to care, as well as spread costs more equitably. Counter-arguments, however, predict very different effects on utilization and costs. Empirical evidence to challenge economic theories of physician behavior may be drawn from Canada. The experience of innovative policies of two provinces--within a national framework--emphasizes a multipronged approach to fees, practice patterns, and numbers of physicians; political will and ongoing negotiations are necessary.
Citation Key267