Medicare Part B reimbursement and the perceived quality of physician care |
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Authors: | Christopher S Brunt Gail A Jensen |
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Institution: | (1) National Center for Health Statistics, Hyattsville, MD, USA;(2) National Bureau of Economic Research, New York, NY, USA |
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Abstract: | The maximum amount physicians can charge Medicare patients for Part B services depends on Medicare reimbursement rates and
on federal and state restrictions regarding balance billing. This study evaluates whether Part B payment rates, state restrictions
on balance billing beyond the federal limit, and physician balance billing influence how beneficiaries rate the quality of
their doctor’s care. Using nationally representative data from the 2001 to 2003 Medicare Current Beneficiary Survey, this
paper finds strong evidence that Medicare reimbursement rates, and state balance billing restrictions influence a wide range
of perceived care quality measures. Lower Medicare reimbursement and restrictions on physicians’ ability to balance bill significantly
reduce the perceived quality of care under Part B. |
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