The Fund supports networks of state health policy decision makers to help identify, inspire, and inform policy leaders.
The Milbank Memorial Fund supports two state leadership programs for legislative and executive branch state government officials committed to improving population health.
The focuses on creating an affordable health care system built on strong primary care and partnerships that improve health outcomes for all.
Keep up with news and updates from the Milbank Memorial Fund. And read the latest posts from our staff and guest authors.
The Fund publishes The Milbank Quarterly, as well as reports, issues briefs, and case studies on topics important to health policy leaders.
The Milbank Memorial Fund is a foundation that works to improve population health and health equity.
March 1988 (Volume 66)
Quarterly Article
Morris L. Barer
Robert G. Evans
Roberta J. Labelle
Sep 9, 2026
Sep 2, 2026
Back to The Milbank Quarterly
Uniform and binding fee schedules for physicians have been advanced as a cost-control strategy that can also improve patient access to care, as well as spread costs more equitably. Counter-arguments, however, predict very different effects on utilization and costs. Empirical evidence to challenge economic theories of physician behavior may be drawn from Canada. The experience of innovative policies of two provinces-within a national framework-emphasizes a multipronged approach to fees, practice patterns, and numbers of physicians; political will and ongoing negotiations are necessary.
Author(s): Morris L. Barer; Robert G. Evans; Roberta J. Labelle
Download the Article
Read on JSTOR
Volume 66, Issue 1 (pages 1–64) Published in 1988