Too many specialists?

Article Abstract:

The tendency of US physicians to choose specialties over general practice will impede health reform. The phenomenon already conflicts with changes in Medicare's resource based relative value scale, which emphasize the rewards of primary care in order to reduce costs. Some proposed remedies would force medical students into primary medicine. Congress has considered preempting the power of teaching colleges to allocate training slots. Federal grants might carry the condition that a fixed proportion of money be allocated to a specific specialty.

Offices & clinics of medical doctors, Health care industry, Supply and demand, Physicians, Medical professions

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Managed care for Medicare? PPO pilot program at center of debate over how to best rein in Medicare spending

Article Abstract:

A test program called Medicare SELECT, which operates in 15 states, gives full Medicare supplementary benefits without added cost to patients who choose to join a preferred provider organization (PPO). Legislators are divided over support for the three-year program, which ends in Jun 1995, because the competitive marketplace of PPOs may deprive physicians and patients of privacy and independence. The program may be extended to provide sufficient data for study and analysis of its operation.

HEALTH SERVICES, Direct Health and Medical Insurance Carriers, Administration of Public Health Programs, Health Care Services, Preferred Provider Health Plans, Analysis, Services, Medical care, Managed care plans (Medical care), Preferred provider organizations (Medical care)

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