Use of Market Force Dynamics to Set Medicare Fee Schedules.

摘要

The study examines the potential for using market force dynamics to set Medicare fee schedules that approximate the prices that would be charged in a competitive market. In particular, the researchers focused on the potential for using competitive bidding to set Medicare fee schedules for clinical laboratory tests. Part of the study was to review a previous Medicare demonstration project that was designed to evaluate competitive bidding for clinical laboratory services. This project was designed in 1987, but not implemented. The researchers examined the proposed bidding process, analyzed probable bidding strategies for providers, and assessed whether the design was still appropriate in light of changes in the industry since the demonstration was proposed.