Medicare Part B pays physicians through a fixed fee schedule designed loosely as a system of average-cost reimbursement … applied fee schedules are inefficient when physicians vary in their approaches to medical practice. Allowing Medicare to … in physicians' billing practices have similar, largely unstudied, implications. Proficient billers receive relatively …

strong position on the market for health care services. Physicians exert a type of monopolistic power which can be described … counterbalance the strong bargaining position of the physicians. Thus, health care expenditure is higher, financing either extra … profits for physicians or a higher number of them. In addition, health insurers do not have an incentive to contract …

We study the effects of "balance billing", i.e., allowing physicians to charge a fee from patients in addition to the …

drive more and more physicians out of the system, it's time for Congress to allow private contracting to play a … nonparticipating physicians, expand the scope of Medigap coverage to include services not covered by Medicare, and liberalize the rules … for opt-out physicians …

that the proportion of U.S. office-based physicians willing to accept new Medicaid patients is decreasing. This discovery … is significant. This managerial accounting study utilizes a national survey of practicing physicians to explore this … conundrum from the physicians' perspective. Specifically, the impact of organizational-related determinants including (1 …

potential over billing based on the hours worked implied by the service codes physicians submit to Medicare. Using the Medicare … and Medicaid Services (CMS), we first construct estimates for physicians' hours spent on Medicare Part B FFS beneficiaries …. Despite our deliberately conservative estimation procedure, we find that about 2,300 physicians, or 3% of those with a …