Devaluing a Specialty: The Centers for Medicare and Medicaid Services Proposal to Eliminate Consultation Codes

被引：3

作者：

Martinelli, Lawrence P. ^{[1
]}

McQuillen, Daniel P. ^{[2
,3
,4
]}

Scull, Jason A. ^{[5
]}

机构：

[1] Consultants Infect Dis, Lubbock, TX USA

[2] Infect Dis Soc Amer Clin Affairs Comm, Burlington, MA USA

[3] Lahey Clin Ctr Infect Dis & Prevent, Burlington, MA USA

[4] Tufts Univ, Sch Med, Burlington, MA USA

[5] Infect Dis Soc Amer, Arlington, VA USA

来源：

CLINICAL INFECTIOUS DISEASES | 2009年 / 49卷 / 07期

关键词：

D O I：

10.1086/606061

中图分类号：

R392 [医学免疫学]; Q939.91 [免疫学];

学科分类号：

100102 ;

摘要：

The Centers for Medicare and Medicaid Services (CMS) has proposed to eliminate payments for the Inpatient and Outpatient Consultation codes beginning on 1 January 2010. The intent appears to be to promote an increase in the supply of primary physicians by increasing payments for other Evaluation and Management services. This will worsen an already inequitable disparity in the payments for complex cognitive services in comparison to procedure-based specialties, to the detriment of infectious diseases physicians. Infectious diseases as a specialty is committed to health care reform that makes sense for both patients and providers. An unintended consequence of the CMS proposal may be that few infectious diseases physicians remain to confront current or future infectious diseases challenges.

引用

页码：995 / 996

页数：2