Physician-based measures of Medicare access.
Physician payment reforms implemented in January 1992 have dramatically changed the way payments for services are determined under the Medicare Part B program. This paper presents new measures of access using physician-level data that provide a baseline for monitoring changes in access that might occur as these payment reforms unfold and that allow us to examine recent access trends. Our results suggest that Medicare beneficiaries as a group currently have a high degree of access to care, and that access generally improved between 1986 and 1990.
Gillis
K D
KD
Center for Health Policy Research, American Medical Association, Chicago, IL 60610.
Lee
D W
DW
Willke
R J
RJ
D005376:Financial Management / Q000592:standards; D006297:Health Services Accessibility / Q000191:economics*; D006302:Health Services Research / Q000379:methods* / Q000592:standards; D007182:Income / Q000706:statistics & numerical data; D015442:Medicare Assignment / Q000706:statistics & numerical data*; D016345:Medicare Part B / Q000706:statistics & numerical data*; D008511:Medicine / Q000706:statistics & numerical data; D010820:Physicians / Q000706:statistics & numerical data; D011785:Quality Assurance, Health Care / Q000458:organization & administration; D012051:Reimbursement Mechanisms; D013038:Specialization; D014481:United States; D014600:Utilization Review / Q000379:methods