Medicare Inpatient Physician Charges: An Econometric Analysis
To control Medicare physician payments, Congress in 1989 established volume performance standards (VPS) that tie future physician fee increases to the growth in expenditures per beneficiary. The VPS risk pool is nationwide, and many observers believe it is too large to affect behavior. VPS could be...
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CENTERS for MEDICARE & MEDICAID SERVICES
1993
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| Online Access: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4193423/ |
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pubmed-41934232014-11-04 Medicare Inpatient Physician Charges: An Econometric Analysis Miller, Mark E. Welch, W. Pete Hospital Payment: Beyond the Prospective Payment System To control Medicare physician payments, Congress in 1989 established volume performance standards (VPS) that tie future physician fee increases to the growth in expenditures per beneficiary. The VPS risk pool is nationwide, and many observers believe it is too large to affect behavior. VPS could be modified by defining a separate risk pool for inpatient physician services and placing each hospital medical staff at risk for those services. Using a national random sample of 500,000 Medicare admissions, we explore the determinants of medical staff charges and comment on the policy implications. Multivariate analysis shows that charges increase with case mix and bed size but, surprisingly, decrease with the level of teaching activity. The teaching result is explained by the substitution of residents for physicians in these hospitals. CENTERS for MEDICARE & MEDICAID SERVICES 1993 /pmc/articles/PMC4193423/ /pubmed/10135341 Text en |
| repository_type |
Open Access Journal |
| institution_category |
Foreign Institution |
| institution |
US National Center for Biotechnology Information |
| building |
NCBI PubMed |
| collection |
Online Access |
| language |
English |
| format |
Online |
| author |
Miller, Mark E. Welch, W. Pete |
| spellingShingle |
Miller, Mark E. Welch, W. Pete Medicare Inpatient Physician Charges: An Econometric Analysis |
| author_facet |
Miller, Mark E. Welch, W. Pete |
| author_sort |
Miller, Mark E. |
| title |
Medicare Inpatient Physician Charges: An Econometric Analysis |
| title_short |
Medicare Inpatient Physician Charges: An Econometric Analysis |
| title_full |
Medicare Inpatient Physician Charges: An Econometric Analysis |
| title_fullStr |
Medicare Inpatient Physician Charges: An Econometric Analysis |
| title_full_unstemmed |
Medicare Inpatient Physician Charges: An Econometric Analysis |
| title_sort |
medicare inpatient physician charges: an econometric analysis |
| description |
To control Medicare physician payments, Congress in 1989 established volume performance standards (VPS) that tie future physician fee increases to the growth in expenditures per beneficiary. The VPS risk pool is nationwide, and many observers believe it is too large to affect behavior. VPS could be modified by defining a separate risk pool for inpatient physician services and placing each hospital medical staff at risk for those services. Using a national random sample of 500,000 Medicare admissions, we explore the determinants of medical staff charges and comment on the policy implications. Multivariate analysis shows that charges increase with case mix and bed size but, surprisingly, decrease with the level of teaching activity. The teaching result is explained by the substitution of residents for physicians in these hospitals. |
| publisher |
CENTERS for MEDICARE & MEDICAID SERVICES |
| publishDate |
1993 |
| url |
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4193423/ |
| _version_ |
1613143361197178880 |