Physician Responses to Medicare Payment Reductions with Multiple Payers. Abstractand Executive Summary of Dissertation

摘要

The study uses data from a national sample of about 250 hospitals and outpatientclinics between 1988 and 1991 to: (1) test the model of physician behavior by McGuire and Pauly by examining the impacts of Medicare payment reductions on Medicare and the private sector after the Omnibus Budget Reconciliation Act of 1989 (OBRA89) and OBRA90; (2) monitor Medicare patients' access. Physician pricing data are also obtained from Medicare and private payers. The analysis files are aggregated at annual-hospital level for eight specialties.