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January 1993

Introducing a New Section for the ARCHIVES

Author Affiliations

Chicago, Ill

Arch Ophthalmol. 1993;111(1):40. doi:10.1001/archopht.1993.01090010044024

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The transition of American medicine into the modern scientific age has been accompanied by the emergence of new modes of organization of health care and its financing.

In response to the increasing stringency in federal payments for the Medicare and Medicaid programs and the imposition of greater control over reimbursement by private insurers, physicians are now required to develop new skills to ensure the fiscal integrity of their practices. They must learn to provide optimal medical care under increasingly competitive pressures, deal with the nonmedical aspects of their interactions with patients, understand innumerable regulations that dictate the manner in which they hire personnel, and be familiar with the arcane systems of payment for their services. In particular, the recent reductions in Medicare reimbursement for ophthalmic procedures have further highlighted the need for ophthalmologists to review the management of their practices.

To help its readers keep up with this rapidly changing

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