Fee-Screen Reimbursement and Physician Fee Inflation
Empirical tests of the physician fee-screen inflation hypothesis are applied to insurance claims data for three Blue Shield plans for 1973 to 1978. A framework for physician pricing behavior is developed, which includes a two-period model of inflationary pricing based on fee-screen updating, and some alternatives, including a myopic (single-period) price formulation model. Each of these models is shown to be a testable parameter subset of the general estimation equation. The results generally conform with the fee-screen inflation hypothesis, suggesting that the current Medicare and Blue Shield UCR physician reimbursement systems encourage excessive price increases.
Year of publication: |
1985
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Authors: | Yett, Donald E. ; Der, William ; Ernst, Richard L. ; Hay, Joel W. |
Published in: |
Journal of Human Resources. - University of Wisconsin Press. - Vol. 20.1985, 2
|
Publisher: |
University of Wisconsin Press |
Saved in:
Online Resource
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