Medicare physician payment changes: impact on physicians and beneficiaries.
The Balanced Budget Act (BBA) of 1997 generally reduced Medicare payments for surgical services while increasing them for other services. Concern about implications of these fee reductions prompted the Medicare Payment Advisory Commission to sponsor a national survey of physicians to learn their views on Medicare payment and whether access to care has changed for Medicare beneficiaries. Results suggest that beneficiaries' access to care has not declined. While physicians are concerned about Medicare reimbursement, they are more concerned about reimbursement from managed care plans and Medicaid. Continued monitoring will be important to detect any emerging access problems accompanying upcoming payment reductions.
Project HOPE Center for Health Affairs (CHA), Bethesda, Maryland, USA.
J A
JA
Schoenman
K J
KJ
Hayes
C M
CM
Cheng
D000368:Aged; D001291:Attitude of Health Personnel; D002017:Budgets / Q000331:legislation & jurisprudence; D003625:Data Collection; D006279:Health Maintenance Organizations / Q000191:economics* / Q000639:trends; D006291:Health Policy; D006297:Health Services Accessibility; D006801:Humans; D015442:Medicare Assignment / Q000191:economics*; D020406:Medicare Payment Advisory Commission; D010820:Physicians / Q000523:psychology*; D014481:United States