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Tarifs, forfaits et economicite

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Published in Revue médicale suisse. 2009, vol. 5, no. 225, p. 2254-2257
Abstract Medical fee schedules are controversial. In this paper we examine the reasons that justify the imposition of fee schedules in the presence of a socially financed health insurance system, and examine the ways of constructing a medical fee schedule. The weakness of fee-for-service tariffs is that they do not allow a control of health care costs if the volume of services is unchecked. Current solutions to this problem--audit of doctors' average cost per case, freeze on new medical practices, or the insurers' discretion in choosing the doctors they reimburse--have multiple drawbacks. Alternatives to fee-for-service payment--such as flat fees, or payment based on the quality of medical services--are discussed.
Keywords *Cost ControlFee Schedules/*economics*Fee-for-Service Plans*Fees, MedicalHumansInsurance, Health/*economics*Quality of Health Care/economicsSwitzerland
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PMID: 19999312
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Other version: http://rms.medhyg.ch/numero-225-page-2254.htm
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PERNEGER, Thomas, HERRMANN, François. Tarifs, forfaits et economicite. In: Revue médicale suisse, 2009, vol. 5, n° 225, p. 2254-2257. https://archive-ouverte.unige.ch/unige:28182

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Deposited on : 2013-05-28

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