Impact of an all-or-nothing assignment requirement under Medicare.
Mitchell, Janet B
Date of Pub
Cromwell, Jerry L
In an effort to raise assignment rates, some policymakers have considered dropping Medicare's case-by-case assignment option.
Physicians would have to decide whether to accept all of their patients on assignment, or none of them. In a 1976 national
survey, over two-thirds of the physicians stated they would take none of their patients on assignment if forced to choose.
Simulation analysis showed that in that event, assignment rates nationwide would fall almost 10 percent. The mean supply of
assigned visits would actually increase 11 percent for general practitioners, while decreasing 12-25 percent for general surgeons,
internists, and obstetricians/gynecologists.
Decision Making : Deductibles and Coinsurance : Physicians : Family Practice/economics : Fees, Medical : Human : Medicare/utilization
: Specialties, Medical/economics : United States