How do Medicare physician fees compare with private payers?
Miller, Mark E
Date of Pub
Gates, Michael; Zuckerman, Stephen
Under the new fee schedule, Medicare physician fees are 76 percent of private fees. Consistent with the intent of payment
reform, Medicare physician fees more closely approximate private fees for visits (93 percent) than for surgery (51 percent)
and in rural areas as compared with large metropolitan areas. Variation in private fees across the country is considerably
greater than it is for Medicare fees. Consequently, Medicare fees are most generous in areas that compare least favorably
with the private market because private fees in these areas are well above average. These results shed light on the impact
of the fee schedule and on the implications of using Medicare payment methods as part of a broad-based health reform.
Comparative Study : Data Interpretation, Statistical : Fee Schedules/statistics & numerical data : Fees, Medical/statistics
& numerical data : Geography : Insurance, Physician Services/economics : Medicare Part B/economics : Private Sector/economics
: Professional Practice Location/economics : Support, U.S. Gov't, Non-P.H.S. : United States