0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Variation in Patient Charges for Vaccines-Reply

Gary L. Freed, MD, MPH; Sarah J. Clark, MPH; Thomas R. Konrad, PhD; Donald E. Pathman, MD, MPH
Arch Pediatr Adolesc Med. 1997;151(2):211. doi:10.1001/archpedi.1997.02170390100025.
Text Size: A A A
Published online

We thank Drs Rappo and Palfrey for their comments.1 We appreciate the sensitive nature of our findings and the need for additional confirmatory studies. However, it is clear from the previous studies we referenced in our article that physicians do make decisions about the pricing and volume of their services based on many factors, including government constraints on charges for particular services.

Although we understand the American Academy of Pediatrics resource-based relative-value scale project and its relationship to CPT codes, we fail to see its relevance to this study. We feel certain that Drs Rappo and Palfrey are not trying to justify the higher charges of pediatricians in Massachusetts by implying that they are more comprehensive in their well-child assessments than are pediatricians in North Carolina and Texas. We also did not suggest that pediatricians in any of our 3 study states are overcompensated for well-child care.

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();