Price Setting for Physician Services —Reply

In Reply Dr Silvestri raises the important issue of how Medicare physician fees are set and updated. We completely agree that Medicare fees are distorted across services and accept that distortion affects physician practice decisions. We specifically raised this issue in our Viewpoint and pointed to the problems that arise due to high prices for specialist services relative to primary care services. Space did not permit us to elaborate further. Ultimately, we and Dr Silvestri agree that revision to Medicare ’s physician fee schedule would be warranted.
Source: JAMA - Category: General Medicine Source Type: research