Miller M E, Zuckerman S, Gates M
Urban Institute, Washington, DC 20037.
Health Care Financ Rev. 1993 Spring;14(3):25-39.
Under the new fee schedule, Medicare physician fees are 76 percent of private fees. Consistent with the intent of payment reform, Medicare physician fees more closely approximate private fees for visits (93 percent) than for surgery (51 percent) and in rural areas as compared with large metropolitan areas. Variation in private fees across the country is considerably greater than it is for Medicare fees. Consequently, Medicare fees are most generous in areas that compare least favorably with the private market because private fees in these areas are well above average. These results shed light on the impact of the fee schedule and on the implications of using Medicare payment methods as part of a broad-based health reform.
根据新的收费标准,医疗保险医生费用为私人费用的76%。与支付改革的意图一致,医疗保险医生费用在门诊(93%)方面比手术(51%)方面更接近私人费用,并且在农村地区比在大都市区更接近私人费用。全国私人费用的差异比医疗保险费用的差异大得多。因此,医疗保险费用在与私人市场相比最不利的地区最为慷慨,因为这些地区的私人费用远高于平均水平。这些结果揭示了收费标准的影响以及将医疗保险支付方式作为广泛的医疗改革一部分的含义。