Office laboratory tests. Perceptions of profitability.

摘要: Theoretic modeling suggests that common office tests as a group are profitable. To determine whether practicing internists perceive this profitability and their perceptions differ for different or patients with types of insurance coverage, the authors surveyed 111 physicians in private practice. Respondents' estimates receipts done on Medicare Blue Cross/Blue Shield coverage were higher than estimated costs testing. Estimates from Medicaid lower After standardizing coverages, found average profits an "average insured patient" varied sixfold, $5.99 electrocardiogram to $1.01 urinalysis. The suggest perceived financial incentives extremely variable by test. Different coverages providing varying testing; provides disincentive. Appropriate reform existing fee schedules should be selective test coverage.