Comparing Physician Fee Schedules in Canada and the United States

摘要

The report analyzes similarities and differences in important aspects ofphysician fee schedules in the 4 largest Canadian Provinces and the 1992 Medicare Physician Fee Schedule. The first part addresses (1) how service definitions are established and modified, (2) what physician services are reimbursable, and (3) how fees for individual services are established and updated. The second part focuses on differences between the Canadian and Medicare's schedule in (1) the approach to defining evaluation and management services, (2) the approach to bundling payments for physician services, and (3) adjustments for special circumstances. The report is complimentary to an earlier report by the same