G2TT
来源类型Working Paper
规范类型报告
DOI10.3386/w6744
来源IDWorking Paper 6744
Physician Fees and Procedure Intensity: The Case of Cesarean Delivery
Jon Gruber; John Kim; Dina Mayzlin
发表日期1998-10-01
出版年1998
语种英语
摘要While there is a large literature investigating the response of treatment intensity to Medicare reimbursement differentials, there is much less work on this question for the Medicaid program. The answers for Medicare may not apply in the Medicaid context, since a smaller share of physician's patients will be Medicaid insured, so that income effects from fee changes may be dominated by substitution effects. We investigate the effect of Medicaid fee differentials on the use of cesarean delivery over the 1988-1992 period. We find, in contrast to the backward-bending supply curve implied by the Medicare literature larger fee differentials between cesarean and normal childbirth for the Medicaid program leads to higher cesarean delivery rates. In particular, we find that the lower fee differentials between cesarean and normal childbirth under the Medicaid program than under private insurance can explain between one-half and three-quarters of the difference between Medicaid and private cesarean delivery rates. Our results suggest that Medicaid reimbursement reductions can cause real reductions in the intensity with which Medicaid patients are treated.
主题International Economics ; Trade
URLhttps://www.nber.org/papers/w6744
来源智库National Bureau of Economic Research (United States)
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资源类型智库出版物
条目标识符http://119.78.100.153/handle/2XGU8XDN/564253
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Jon Gruber,John Kim,Dina Mayzlin. Physician Fees and Procedure Intensity: The Case of Cesarean Delivery. 1998.
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