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The physicians-contract-bound to one of the 19 health insurance agencies-are reimbursed on either a fee-for-service or a flat-rate basis, depending on the service.
Consider solo primary care practitioners, paid fee-for-service, who examine patients, diagnose problems, prescribe medicine, provide simple treatment, and refer patients to specialists.
The main conclusion so far is that the provision of services must be uncoupled from the fee-for-service-based income system of specialists.
Physicians in such settings usually work as private practitioners and are paid by patients on a fee-for-service basis.
Physicians entering the profession in the 21st century do not expect to practice fee-for-service medicine.
This could explain why more clinical providers, particularly doctors, than others supported the fee-for-service method and the mixed method.
While the combined capitated fee-for-service system might create the best possible set of incentives, it is not the best instrument to control costs (22).
These policies created important vested interests in a pluralist financing structure and reinforced doctors' preferences for fee-for-service payment.
Yet another combination includes fixed global budgets, additional payments for the provision of more costly treatments, and fee-for-service payments (1).
Some countries pay their physicians primarily on a fee-for-service basis, while others pay salaries.
A small, independent healthcare sector provides care on a fee-for-service basis, with fees paid directly by patients or by private insurance reimbursement.
On the other hand, personnel paid on a fee-for-service basis only intervene in home care.
Medical doctors are reimbursed on a fee-for-service basis, and hospitals receive an annual ex-post budget for support of their activities.
Another marked problem is the juxtaposition of fee-for-service for specialists with budgets for nursing and accommodation costs in hospitals.
Unlike the fee-for-service reimbursement system, the capitation model removed the need for physicians to have direct contact with all patients accessing services in the practice.
