Fee-for-service plan: Difference between revisions

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In [[health care economics]], a '''fee-for-service plan''' is a type of reimbursement mechanism "whereby a physician or other practitioner bills for each encounter or service rendered. In addition to physicians, other health care professionals are reimbursed via this mechanism. Fee-for-service plans contrast with salary, per capita, and prepayment systems, where the payment does not change with the number of services actually used or if none are used."<ref>{{MeSH}}</ref><ref name="LCCRA423.U54">{{cite book |author=United States. Congress. House. Committee on Interstate and Foreign Commerce. Subcommittee on Health and the Environment.|title=A discursive dictionary of health care / prepared by the staff for the use of the Subcommittee on Health and the Environment of the Committee on Interstate and Foreign Commerce, U.S. House of Representatives|publisher=U.S. Government Printing Office|location=Washington, DC|year=1976 |pages= |isbn= |oclc= |doi=|id={{LCC|RA423 .U54}} }}{{LCCN|76|601|046}}</ref>
In health care economics, a '''fee-for-service plan''' is a type of reimbursement mechanism "whereby a physician or other practitioner bills for each encounter or service rendered. In addition to physicians, other health care professionals are reimbursed via this mechanism. Fee-for-service plans contrast with salary, per capita, and prepayment systems, where the payment does not change with the number of services actually used or if none are used."<ref>{{MeSH}}</ref><ref name="LCCRA423.U54">{{cite book |author=United States. Congress. House. Committee on Interstate and Foreign Commerce. Subcommittee on Health and the Environment.|title=A discursive dictionary of health care / prepared by the staff for the use of the Subcommittee on Health and the Environment of the Committee on Interstate and Foreign Commerce, U.S. House of Representatives|publisher=U.S. Government Printing Office|location=Washington, DC|year=1976 |pages= |isbn= |oclc= |doi=|id={{LCC|RA423 .U54}} }}{{LCCN|76|601|046}}</ref>


[[Primary care physician]]s practicing in fee-for-service plans may be more susceptible to [[conflict of interest]] in their ordering of medical services.<ref name="pmid10908531">{{cite journal| author=Gosden T, Forland F, Kristiansen IS, Sutton M, Leese B, Giuffrida A et al.| title=Capitation, salary, fee-for-service and mixed systems of payment: effects on the behaviour of primary care physicians. | journal=Cochrane Database Syst Rev | year= 2000 | volume=  | issue= 3 | pages= CD002215 | pmid=10908531 | doi=10.1002/14651858.CD002215 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10908531  }} </ref>
[[Primary care physician]]s practicing in fee-for-service plans may be more susceptible to [[conflict of interest]] in their ordering of medical services.<ref name="pmid10908531">{{cite journal| author=Gosden T, Forland F, Kristiansen IS, Sutton M, Leese B, Giuffrida A et al.| title=Capitation, salary, fee-for-service and mixed systems of payment: effects on the behaviour of primary care physicians. | journal=Cochrane Database Syst Rev | year= 2000 | volume=  | issue= 3 | pages= CD002215 | pmid=10908531 | doi=10.1002/14651858.CD002215 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10908531  }} </ref>

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In health care economics, a fee-for-service plan is a type of reimbursement mechanism "whereby a physician or other practitioner bills for each encounter or service rendered. In addition to physicians, other health care professionals are reimbursed via this mechanism. Fee-for-service plans contrast with salary, per capita, and prepayment systems, where the payment does not change with the number of services actually used or if none are used."[1][2]

Primary care physicians practicing in fee-for-service plans may be more susceptible to conflict of interest in their ordering of medical services.[3]

References

  1. Anonymous (2024), Fee-for-service plan (English). Medical Subject Headings. U.S. National Library of Medicine.
  2. United States. Congress. House. Committee on Interstate and Foreign Commerce. Subcommittee on Health and the Environment. (1976). A discursive dictionary of health care / prepared by the staff for the use of the Subcommittee on Health and the Environment of the Committee on Interstate and Foreign Commerce, U.S. House of Representatives. Washington, DC: U.S. Government Printing Office. LCC RA423 .U54. LCCN 76-046
  3. Gosden T, Forland F, Kristiansen IS, Sutton M, Leese B, Giuffrida A et al. (2000). "Capitation, salary, fee-for-service and mixed systems of payment: effects on the behaviour of primary care physicians.". Cochrane Database Syst Rev (3): CD002215. DOI:10.1002/14651858.CD002215. PMID 10908531. Research Blogging.