FREE NEJM E-TOC    HOME   |   SUBSCRIBE   |   CURRENT ISSUE   |   PAST ISSUES   |   COLLECTIONS   |   Search Term  Advanced Search

Sign in | Get NEJM's E-Mail Table of Contents — Free | Subscribe

Previous Volume 341:1619-1622 November 18, 1999 Number 21 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

	Full Text Purchase this article Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited Related Article by Lasker, R. D. PubMed Citation

To the Editor: Lasker and Marquis (July 29 issue)¹ offer a simple scheme to deal with the complexities of reimbursement for medical services, but it suffers from two major flaws, which the authors themselves point out. First, the system can easily be "gamed." Because payment rates decline as more time is spent with a patient, income can be maximized by fragmenting care — treating two problems in two short visits rather than in one long one. More seriously, this payment scheme provides a very strong disincentive to treat difficult or time-consuming conditions, further aggravating the trend in managed care toward . . . [Full Text of this Article]

References

This article has been cited by other articles:

• Cromwell, J., Hoover, S., McCall, N., Braun, P. (2006). Validating CPT Typical Times for Medicare Office Evaluation and Management (E/M) Services.. Med Care Res Rev 63: 236-255 [Abstract]