Medicare balance billing restrictions: Impacts on physicians and beneficiaries
AbstractRecent publicity about Ãâconcierge physiciansÃâ 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 Ãâbalance billÃâ 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.
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Bibliographic InfoArticle provided by Elsevier in its journal Journal of Health Economics.
Volume (Year): 26 (2007)
Issue (Month): 2 (March)
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Web page: http://www.elsevier.com/locate/inca/505560
Other versions of this item:
- Robin McKnight, 2004. "Medicare Balance Billing Restrictions: Impacts on Physicians and Beneficiaries," University of Oregon Economics Department Working Papers 2004-13, University of Oregon Economics Department.
- I1 - Health, Education, and Welfare - - Health
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