Medicare Part B reimbursement and the perceived quality of physician care

International Journal of Health Care Finance and Economics

Volumn 10, Issue 2, 2010, Pages 149-170

  Brunt, Christopher S ^a   Jensen, Gail A ^b  

^a LAKE SUPERIOR STATE UNIVERSITY   (United States)

^b WAYNE STATE UNIVERSITY   (United States)

Author keywords

Balance billing; Mandatory assignment; Medicare part B; Participation

Indexed keywords

AGED; ARTICLE; ECONOMICS; FEMALE; HEALTH CARE QUALITY; HUMAN; INFORMATION PROCESSING; LEGAL ASPECT; MALE; MEDICAL FEE; MEDICARE; MIDDLE AGED; PHYSICIAN; REIMBURSEMENT; STANDARD; THEORETICAL MODEL; UNITED STATES;

AGED; AGED, 80 AND OVER; DATA COLLECTION; FEES, MEDICAL; FEMALE; HUMANS; INSURANCE, HEALTH, REIMBURSEMENT; MALE; MEDICARE PART B; MIDDLE AGED; MODELS, THEORETICAL; PHYSICIANS; QUALITY OF HEALTH CARE; UNITED STATES;

EID: 77953358923     PISSN: 13896563     EISSN: 15736962     Source Type: Journal    
DOI: 10.1007/s10754-009-9075-1     Document Type: Article

References (25)

1. Armour B., Pitts M., Maclean R., Cangialose C., Kishel M., Imai H., Etchason J. (2001) The effect of explicit financial incentives on physician behavior. Archives of internal medicine 161(10): 1261-1266.
2. Dafny L. S. (2005) How do hospitals respond to price changes?. American Economics Review 95(5): 1525-1547.
3. Decker S. L. (2007) Medicaid physician fees and the quality of medical care of medicaid patients in the USA. Review of Economics of the Household 5(1): 95-112.
4. GAO. (1989). Impact of state mandatory assignment programs on beneficiaries. Technical report, United States General Accounting Office.
5. Glazer J., McGuire T. G. (1993) Should physicians be permitted to balance bill patients. Journal of Health Economics 12(3): 239-258.
6. Gray B. (2001) Do medicaid physician fees for prenatal services affect birth outcomes?. Journal of Health Economics 12(3): 571-590.
7. Hadley J., Mandelblatt J. S., Mitchell J. M., Weeks J. C., Guadagnoli E., Hwang Y. (2003) Medicare breast surgery fees and treatment received by older women with localized breast cancer. Health Services Research 38(2): 553-573.
8. Hadley J., Mitchell J., Mandelblatt J. (2001) Medicare fees and small area variations in breast-conserving surgery among elderly women. Medical Care Research and Review 58(3): 334-360.
9. HCFA. (1984). Legislative summary for deficit reduction act of 1984. Technical report, Health Care Finance Administration.
10. HCFA. (1986). Legislative summary for the omnibus reconciliation act of 1986. Technical report, Health Care Finance Administration.
11. Hellinger F. (1998) The effect of managed care on quality-A review of recent evidence. Archives Of Internal Medicine 158(8): 833-841.
12. Holahan J., Zuckerman S. (1989) Medicare mandatory assignment-An unnecessary risk. Health Affairs 8(1): 65-79.
13. Holahan, J., & Zuckerman, S. (1991). Regulating Doctors Fees, chapter The Role of Balance Biling in Medicare Physician Payment Reform., pp. 143-169. American Enterprise Institute Press.
14. KFF. Medicare assignment rates for physician services for calendar years 1983, 1988, 2001, 2002, and 2003. Kaiser Family Foundation, URL http://www. statehealthfacts. org/comparetable. jsp?cat=6& ind=341.
15. Kmenta J. (1986) Elements of econometrics (2nd ed.). Macmillan Publishings Co, New York.
16. Konetzka T. R., Norton E. C., Stearns S. C. (2006) Medicare payment changes and nursing home quality: Effects on long-stay residents. International Journal of Health Care Finance Economics 6(3): 173-189.
17. Lucci A., Shoher A., Sherman M. O., Azzizadeh A. (2004) Assessment of the current medicare reimbursement system for breast cancer operations. Annals Of Surgical Oncology 11(12): 1037-1044.
18. McKnight R. (2007) Medicare balance billing restrictions: Impacts on physicians and beneficiaries. Journal of Health Economics 26(2): 326-341.
19. Reschovsky J. D., Hadley J., Landon B. E. (2006) Effects of compensation methods and physician group structure on physicians' perceived incentives to alter services to patients. Health Services Research 41(4, Part 1): 1200-1220.
20. Sammons J. H. (1989) Physician payment reform: Don't forget the patient. Health Affairs 8(1): 132-137.
21. Shen Y. C., Zuckerman S. (1990) The effect of medicaid payment generosity on access and use among beneficiaries. Health Services Research 40(3): 723-744.
22. Sloan F., Mitchell J., Cromwell J. S. (1978) Private physicians and public programs. Lexington Books, Lexington.
23. Smith S., Gallagher P. E. (1999) Medicare RBRVS: The physician's guide 1999. American Medical Association, Chicago.
24. Williams R. (2006) Generalized ordered logit/ partial proportional odds models for ordinal dependent variables. The Stata Journal 6(1): 58-82.
25. Williams, R. (2006b). Mfx2: Stata module to enhance mfx command for obtaining marginal effects or elasticities after estimation. Statistical Software Components, Boston College Department of Economics, May. URL http://ideas. repec. org/c/boc/bocode/s456726. html.