医疗保险和医疗补助病人的支付慷慨度和医生接受度。

Christopher S Brunt, Gail A Jensen
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引用次数: 27

摘要

利用2008年的医生调查数据,我们估计了在医疗补助和医疗保险下支付给初级保健医生的费用慷慨程度与他/她接受医疗补助、医疗保险或两种计划覆盖的新患者的意愿之间的关系(即双重登记的患者)。调查结果显示,医生对这两个项目下的费用慷慨都非常敏感。此外,他们在任何一个计划下接受患者的意愿都受到另一个计划下费用慷慨程度的影响,即医疗保险和医疗保险费用慷慨程度之间存在显着的溢出效应。我们还模拟了2008年的医生对医疗补助和医疗保险支付改革的反应,这些改革与2010年《平价医疗法案》中体现的改革类似,如果这些改革在2008年永久实施的话。我们的研究结果表明,初级保健医生的“医疗补助平价”可能会极大地提高医生接受新的医疗补助患者的意愿,而只会略微降低他们接受新的医疗保险患者的意愿。此外,更多的初级保健医生会愿意治疗双重登记的患者。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Payment generosity and physician acceptance of Medicare and Medicaid patients.

Using 2008 physician survey data, we estimate the relationship between the generosity of fees paid to primary care physicians under Medicaid and Medicare and his/her willingness to accept new patients covered by Medicaid, Medicare, or both programs (i.e., dually enrolled patients). Findings reveal physicians are highly responsive to fee generosity under both programs. Also, their willingness to accept patients under either program is affected by the generosity of fees under the other program, i.e., there are significant spillover effects between Medicare and Medicare fee generosity. We also simulate how physicians in 2008 would have likely responded to Medicaid and Medicare payment reforms similar to those embodied in the 2010 Affordable Care Act, had they been permanently in place in 2008. Our findings suggest that "Medicaid Parity" for primary care physicians would have likely dramatically improved physician willingness to accept new Medicaid patients while only slightly reducing their willingness to accept new Medicare patients. Also, many more primary care physicians would have been willing to treat dually enrolled patients.

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