Comparison of Medicare Physician Fees, Physician Charges, Fees of Other Payors,and Model Medicare Fee Schedule Amounts

摘要

The report compares 1984 physician fees, Medicare payments and private insurancepayments using survey data and 1988 HIAA physician charge data, simulated private payments, Medicare payments and simulated amounts from the September 1990 Medicare Model Fee Schedule. It concludes that Medicare payments under the Model Fee Schedule would increase the difference between Medicare and private-payer payments for survey, but reduce it for medical visits. The difference will also be narrowed in smaller metropolitan areas. The authors caveat that the simulations do not take into account OBRA 1990 changes or changes in the Medicare Fee Schedule since September 1990.