Private insurers' payments for routine physician office visits vary substantially across the United States

Health Affairs

Volumn 32, Issue 9, 2013, Pages 1583-1590

  Baker, Laurence ^a,b   Bundorf, M Kate ^a,b   Royalty, Anne ^c  

^a STANFORD UNIVERSITY   (United States)

^b NATIONAL BUREAU OF ECONOMIC RESEARCH   (United States)

^c INDIANA UNIVERSITY   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

AMBULATORY CARE; ARTICLE; CURRENT PROCEDURAL TERMINOLOGY; EMERGENCY MEDICINE; GENERAL PRACTICE; GYNECOLOGY; HEALTH CARE COST; HEALTH CARE POLICY; HEALTH CARE SYSTEM; HEALTH INSURANCE; HEALTH SERVICE; HUMAN; INTERNAL MEDICINE; MEDICAL FEE; PEDIATRICS; SURGERY; UNITED STATES;

BUSINESS OF HEALTH; FINANCING HEALTH CARE; HEALTH SPENDING; PHYSICIANS; VARIATIONS;

ADOLESCENT; ADULT; CHILD; CHILD, PRESCHOOL; HUMANS; INFANT; INSURANCE CLAIM REVIEW; INSURANCE, HEALTH, REIMBURSEMENT; MIDDLE AGED; OFFICE VISITS; PRIMARY HEALTH CARE; PRIVATE SECTOR; RETROSPECTIVE STUDIES; UNITED STATES; YOUNG ADULT;

EID: 84885350995     PISSN: 02782715     EISSN: 15445208     Source Type: Journal    
DOI: 10.1377/hlthaff.2013.0309     Document Type: Article

References (16)

1. Government Accountability Office. Federal Employees Health Benefits Program: competition and other factors linked to wide variation in health care prices.Washington (DC): GAO; 2005.
2. Ginsburg PB.Wide variation in hospital and physician payment rates evidence of provider market power. Washington (DC): Center for Studying Health System Change; 2010.
3. Wu VY. Managed care's price bargaining with hospitals. J Health Econ. 2009;28(2):350-60.
4. Melnick G.A., Zwanziger J, Bamezai A, Pattison R. The effects of market structure and bargaining position on hospital prices. J Health Econ. 1992;11(3):217-33.
5. Pennsylvania Health Care Cost Containment Council. Cardiac surgery in Pennsylvania 2005. Harrisburg (PA): The Council; 2007.
6. Antwi YA, Gaynor MS, Vogt WB. A bargain at twice the price? California hospital prices in the new millennium. Forum Health Econ Policy. 2009;12(1).
7. Hsia RY, Kothari AH, Srebotnjak T, Maselli J. Health care as a "market good"? Appendicitis as a case study. Arch Intern Med. 2012;172(10): 818-9.
8. American Medical Association. Current Procedure Terminology 2010. Chicago (IL): AMA; 2010.
9. To access the Appendix, click on the Appendix link in the box to the right of the article online.
10. Bayes MR, Morgan J, Scholten P. Information, search, and price dispersion. In: Hendershott T, editor. Economics and information systems. Amsterdam: Elsevier; 2006. p. 323-76.
11. Pratt JW, Wise DA, Zeckhauser R. Price differences in almost competitive markets. Q J Econ. 1979;93(2): 189-211.
12. Dafny L. Estimation and identification of merger effects: an application to hospital mergers. J Law Econ. 2009;52:523-50.
13. Melnick GA, Shen YC, Wu VY. The increased concentration of health plan markets can benefit consumers through lower hospital prices. Health Aff (Millwood). 2011;30(9): 1728-33.
14. Berenson RA, Ginsburg PB, Kemper N. Unchecked provider clout in California foreshadows challenges to health reform. Health Aff (Millwood). 2010;29(4):699-705.
15. Gaynor M. Health care industry consolidation: statement before the Committee on Ways and Means Health Subcommittee, U.S. House of Representatives. Washington (DC); House of Representatives; 2011.
16. Stigler G. The economics of information. J Polit Econ. 1961;69(3): 213-25.