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Article
Medicare Part B Reimbursement and the Perceived Quality of Physician Care
International Journal of Health Care Finance and Economics (2010)
  • Christopher Brunt, Georgia Southern University
  • Gail A. Jensen, Wayne State University
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.
Keywords
  • Balance billing,
  • Participation,
  • Mandatory assignment,
  • Medicare part B
Publication Date
June, 2010
DOI
10.1007/s10754-009-9075-1
Citation Information
Christopher Brunt and Gail A. Jensen. "Medicare Part B Reimbursement and the Perceived Quality of Physician Care" International Journal of Health Care Finance and Economics Vol. 10 Iss. 2 (2010) p. 149 - 170
Available at: http://works.bepress.com/christopher-brunt/3/