Fee-Based Versus Fixed Income Reimbursement: A Comparative Analysis of Staff Physicians and Civilian Health and Medical Program of the Uniformed Services (CHAMPUS) Partnership Physicians at Blanchfield Army Community Hospital, Fort Campbell, Kentucky.

摘要

The Army's Gateway to Care Program brings both the direct care budget and the CHAMPUS budget under the control of the local hospital commander. Hospital commanders must determine the best way to maintain access to quality health care while minimizing costs. This study measured, compared, and contrasted the outpatient health care services being delivered by military staff physicians and CHAMPUS Partnership Physicians in a family practice and a pediatric clinic setting. Specific variables being studied include patient demographics, the relative acuity of the patients as measured by procedure codes, numbers and types of visits per day, and the use of pharmacy and laboratory ancillary services. The family practice data included 2,633 cases and 18 physicians. Statistically significant differences were found in all 14 variables examined including gender, age, pharmacy usage and laboratory usage. The pediatric data was limited to six CHAMPUS Partnership physicians. Data was compiled on 2,558 cases. A number of statistically significant differences were found among the physicians. CHAMPUS Partnership, Fee-based, Fixed income, Blanchfield, Fort Campbell, Gate to care.