SSSMDt

2+ Year Member
Sep 13, 2014
474
486
How exactly are specialists reimbursed or paid?

The reason I ask is because from what I understand (please correct me if this is wrong), the reason PCPs are paid so embarrassingly little is because insurances/Medicare reimburses these services so little and that Medicare largely sets these rate.. So does Medicare value specialist care more heavily and thus reimburses these services to a larger degree? Or is this not how specialists are paid? Are specialists pain in a fee-of-service like system?
 

getdown

7+ Year Member
Nov 16, 2010
1,570
2,713
Status
Attending Physician
In general the way things are currently set up is that "procedures" which include colonoscopies to punch biopsies pay out at a higher rate rather than a "simple" clinic visit to your PCP. That's why we have the health issues we have in this country. Preventive care is not deemed as important as procedures.
 
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