title: Proposals to control high-cost hospital medical staffs.
abstract: Several health care reform bills would limit Medicare payments to high-cost medical staffs, that is, physicians in hospitals with a high volume of physician services per admission. In a given year, Medicare's payment to the physicians on each hospital's medical staff could not collectively exceed a limit defined as a certain percentage above the national median. Limits of various forms are used in other parts of the Medicare program. This policy would combine cost containment incentives with a clear organizational structure. In addition, medical staffs could be provided with detailed information on their practice styles.
authors.affiliation: Urban Institute.
authors.forename: W P
authors.initials: WP
authors.lastname: Welch
authors.forename: M E
authors.initials: ME
authors.lastname: Miller
mesh_terms: D003363:Cost Control / Q000331:legislation & jurisprudence / Q000379:methods*; D003953:Diagnosis-Related Groups; D018166:Health Care Reform / Q000191:economics / Q000331:legislation & jurisprudence*; D006801:Humans; D008505:Medical Staff, Hospital / Q000191:economics*; D006278:Medicare / Q000331:legislation & jurisprudence; D010818:Practice Patterns, Physicians' / Q000191:economics* / Q000331:legislation & jurisprudence; D014481:United States