The more recent physician payment reforms have attempted to encourage more primary care.

It is estimated that in these two areas as much as 15 percent of total physician payments might be saved.

If a hospital meets a set quality of care index score, physician payments are increased.

Under the formula, when utilization increases, physician payments are scheduled to decline.

The bill would also increase physician payments for doctors by 5 percent in comparison to Medicare reimbursement rates.

The study's authors, however, think that the relative value scale will have a salutary effect on physician payments.

This provision would update physician payments by zero percent for two months, ending February 29.

The commission found "very large differences" in physician payments.

A new provision will tie physician payments to the quality of care they provide.

In addition, the health subcommittee approved overall spending targets for physician payments, to take effect in 1991.