At 12:31 8/09/96, Helen Breslauer/Robert Frankford is rumored to have typed:
> In Ontario the government system is budgeted to pay $3.8 billion for doctors
> (specialists and GPs). Since the payment of doctors is predominantly fee
> for service, this means that the government can only make things work by
> forcing caps on physician incomes (i.e. only paying a percentage of billings
> above a certain net $ figure) and clawbacks (i.e. paying a reduced
> percentage of each claim to keep within budget.
>
> I would be interested to know whether anything similar exists elsewhere,
> particularly in countries where fee for service is the predominant mechanism
> within a government system. Australia for instance.
>
>
> Bob Frankford
> Toronto
In France the system will be based on an annual rate of expense increase
(2,1% this year). If the real rate will be over, doctors will refund the
difference to the national social security, according to an incredible
calculation. First refundings will occur on 1998, year of elections...
Other things will be:
-financial incitation to go to the GP first
-computerization of the profession
-use of smart cards and networking to suppress paper bills.
___Patrick Atlas, MD____________tel: +33 83 28 60 61__________________
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