Factors affecting differences in Medicare reimbursements for physicians' services.
Date of Pub
Hackerman, Carl; Newton, Marilyn
Under Medicare's Part B program, wide variations are found in average reimbursements for physicians' services by demographic
and geographic characteristics of the beneficiaries. Average reimbursements per beneficiary enrolled in the program depend
upon the percentage of enrolled persons who exceed the deductible and receive reimbursements, the average allowed charge per
service, and the number of services used. This study analyzes differences in average reimbursements per beneficiary for physicians'
services in 1975 and discusses allowed charges and use factors that affect average reimbursements. Differences in the level
of allowed charges and their impact on meeting the annual deductible are also discussed. The study indicates that average
reimbursements per beneficiary are likely to continue to vary significantly year after year under the present Part B cost-sharing
and reimbursement mechanisms.
Reimbursement Mechanisms : Analysis of Variance : Fees, Medical : Insurance, Physician Services/economics : Medicare/economics/utilization
: United States