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医疗保险指定支付选项下的医生行为

Physician behavior under the Medicare assignment option.

作者信息

Mitchell J B, Cromwell J

出版信息

J Health Econ. 1982 Dec;1(3):245-64. doi: 10.1016/0167-6296(82)90003-0.

DOI:10.1016/0167-6296(82)90003-0
PMID:10299358
Abstract

Using a national sample of general practitioners, internists, and general surgeons, we analyzed the willingness of physicians to accept Medicare patients on assignment. Assignment rates were found to be very sensitive to reimbursement and administrative practices under Medicare. A ten percent increase in the prevailing charge, for example, raised assignment by 14.7 percent. The assigned and non-assigned components of the Medicare program were found to compete with each other; assignment rates were lower where the demand for non-assigned services was stronger. As for the kinds of physicians who take assignment, they were disproportionately general surgeons and foreign medical graduates.

摘要

我们使用了一个由全科医生、内科医生和普通外科医生组成的全国性样本,分析了医生接受医疗保险患者进行指派服务的意愿。研究发现,指派率对医疗保险下的报销和行政实践非常敏感。例如,现行收费提高10%,会使指派率提高14.7%。医疗保险计划的指派服务和非指派服务部分被发现相互竞争;在对非指派服务需求较强的地方,指派率较低。至于接受指派的医生类型,普通外科医生和外国医学毕业生的占比过高。

相似文献

1
Physician behavior under the Medicare assignment option.医疗保险指定支付选项下的医生行为
J Health Econ. 1982 Dec;1(3):245-64. doi: 10.1016/0167-6296(82)90003-0.
2
Medicare assignment rates of physicians: their responses to changes in reimbursement policy.医生的医疗保险指派率:他们对报销政策变化的反应。
Health Care Financ Rev. 1980 Winter;1(3):75-89.
3
Impact of an all-or-nothing assignment requirement under Medicare.医疗保险下全有或全无分配要求的影响
Health Care Financ Rev. 1983 Summer;4(4):59-78.
4
Physicians' charges under Medicare: assignment rates and beneficiary liability.医疗保险下医生的收费:分配率与受益人的责任。
Health Care Financ Rev. 1980 Winter;1(3):49-73.
5
Physician acceptance of Medicare patients on assignment.
J Health Econ. 1983 Mar;2(1):55-73. doi: 10.1016/0167-6296(83)90012-7.
6
Effects of selected fee schedule options on physicians' Medicare receipts.选定收费表选项对医生医疗保险收入的影响。
Health Care Financ Rev. 1987 Winter;9(2):25-37.
7
Physician fee patterns under medicare: a descriptive analysis.医疗保险下的医生收费模式:描述性分析
N Engl J Med. 1976 May 13;294(20):1089-93. doi: 10.1056/NEJM197605132942005.
8
Analysis of services received under Medicare by specialty of physician.按医生专业分析医疗保险所涵盖的服务。
Health Care Financ Rev. 1981 Sep;3(1):89-116.
9
Medicare assignment rates and carrier practices: a national study.
Soc Sci Med C. 1981 Sep;15(3):153-9. doi: 10.1016/0160-7995(81)90030-7.
10
Physician case-by-case assignment and participation in Medicare.
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1
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Health Serv Res. 2017 Dec;52(6):2219-2236. doi: 10.1111/1475-6773.12591. Epub 2016 Oct 21.
2
Provider Opt-Out Under Medicare Private Contracting.医疗保险私人签约下的医疗服务提供者退出机制。
Health Care Financ Rev. 2004 Winter;26(2):43-59.
3
Balance billing: the patients' perspective.按项目收费:患者的观点。
Health Econ Rev. 2011 Sep 17;1(1):14. doi: 10.1186/2191-1991-1-14.
4
To sign or not to sign: physician participation in Medicare, 1984.签署与否:1984年医生参与医疗保险情况
Health Care Financ Rev. 1988 Fall;10(1):17-26.
5
Trends in physician assignment rates for Medicare services, 1968-85.1968 - 1985年医疗保险服务的医生分配率趋势
Health Care Financ Rev. 1985 Winter;7(2):59-75.
6
Medicare physicians' services: the composition of spending and assignment rates.医疗保险医生服务:支出构成与分配率
Health Care Financ Rev. 1985 Fall;7(1):81-96.
7
Twenty years of Medicare and Medicaid: covered populations, use of benefits, and program expenditures.医疗保险和医疗补助二十年:覆盖人群、福利使用情况及项目支出
Health Care Financ Rev. 1985;Suppl(Suppl):13-59.
8
Physician losses from Medicare and Medicaid discounts: how real are they?医疗保险和医疗补助折扣导致的医生损失:实际情况如何?
Health Care Financ Rev. 1985 Summer;6(4):51-68.
9
Determinants of physician assignment rates by type of service.按服务类型划分的医生分配率的决定因素。
Health Care Financ Rev. 1984 Summer;5(4):33-42.
10
Impact of an all-or-nothing assignment requirement under Medicare.医疗保险下全有或全无分配要求的影响
Health Care Financ Rev. 1983 Summer;4(4):59-78.