A health care payer may benefit by paying surgeons more to perform tasks that do not have high associated costs, such as outpatient nonoperative care, research, or teaching. In this fashion, faced with declining surgical fees, the surgeon will maintain his or her income not by performing more expensive surgery, but rather by doing more nonoperative work.
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May_Jun_99_282-287
Paying Surgeons Less Can Cost More by Joseph Bernstein, M.D., and Gerhard B. Holt, M.B.A.