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unige:28182 
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Tarifs, forfaits et economicite |
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| Authors | ||
| 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 Control — Fee Schedules/*economics — *Fee-for-Service Plans — *Fees, Medical — Humans — Insurance, Health/*economics — *Quality of Health Care/economics — Switzerland | |
| Identifiers | PMID: 19999312 | |
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| Citation (ISO format) | 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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