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From: [email protected] (Jim Zisfein) 
Subject: Re: Could this be a migraine????

GB> From: [email protected] (Gordon Banks)
GB> The HMO would stop the over-ordering, but in HMOs, tests are
GB> under-ordered.

That's a somewhat overbroad statement.  I'm sure there are HMOs in
which the fees for lab tests are subtracted from the doctor's
income.  In most, however, including the one I work for, there is no
direct incentive to under-order.  Profits of the group are shared
among all partners, but the group is so large that an individual's
generated costs have a miniscule effect.  I don't believe that we
under-order.  Then again, I'm not really sure what the right amount
of ordering is or should be.  Relative to the average British
neurologist, I suspect that I rather drastically over-order.
---
 . SLMR 2.1 . E-mail: [email protected] (Jim Zisfein)
                                                                            




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