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April 3, 2002

The Costs of Making Practice More Cost-effective

Author Affiliations

Stephen J.LurieMD, PhD, Senior EditorIndividualAuthor

JAMA. 2002;287(13):1648-1650. doi:10.1001/jama.287.13.1645

To the Editor: Dr Mason and colleagues1 derived an economic model, based on England's National Healthcare System (NHS), for determining when it might be cost-effective to try to change physician behavior. Although health care is not nationalized in the United States, some health care services for eligible elderly and disabled patients are federally funded through Medicare. Three differences between the NHS and Medicare must be recognized before the model of Mason et al1 can be applied to Medicare policy.