Medicare Balance Billing Restrictions: Impacts on Physicians and Beneficiaries
Datum
2004-09
Autor:innen
Zeitschriftentitel
ISSN der Zeitschrift
Bandtitel
Verlag
University of Oregon, Dept. of Economics
Zusammenfassung
Recent publicity about “concierge physicians” has raised concerns about the potential adverse effects of allowing physicians to bill their patients for fees that are above normal copayments and insurance reimbursements. In particular, consumers who are unable to afford the additional costs of such physicians are concerned that their access to highquality
medical care could be compromised. Such concerns in the context of Medicare led states and the federal government, beginning in the late 1980s, to restrict the ability of physicians to “balance bill” beneficiaries for charges in excess of the copayment and reimbursement amounts approved by Medicare. In this paper, I provide empirical
evidence that this policy change resulted in an 8% reduction in out-of-pocket medical expenditures by elderly households. In spite of the change in marginal reimbursement to
physicians, however, I find little evidence that the restrictions affected quantity or quality
of care.
Beschreibung
43 p.
Schlagwörter
Price controls, Medicare, Physician reimbursement