Medicare Balance Billing Restrictions: Impacts on Physicians and Beneficiaries

dc.contributor.authorMcKnight, Robin
dc.date.accessioned2004-10-24T14:55:00Z
dc.date.available2004-10-24T14:55:00Z
dc.date.issued2004-09
dc.description43 p.en
dc.description.abstractRecent 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.en
dc.description.sponsorshipNational Institute on Aging, Grant #K12-AG00983 to the National Bureau of Economic Researchen
dc.format.extent799777 bytes
dc.format.mimetypeapplication/pdf
dc.identifier.urihttps://hdl.handle.net/1794/241
dc.language.isoen_US
dc.publisherUniversity of Oregon, Dept. of Economicsen
dc.relation.ispartofseriesUniversity of Oregon Economics Department Working Papers;2004-13
dc.subjectPrice controlsen
dc.subjectMedicareen
dc.subjectPhysician reimbursementen
dc.titleMedicare Balance Billing Restrictions: Impacts on Physicians and Beneficiariesen
dc.typeWorking Paperen

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