| 来源类型 | Working Paper |
| 规范类型 | 报告 |
| DOI | 10.3386/w29010 |
| 来源ID | Working Paper 29010 |
| A Denial a Day Keeps the Doctor Away | |
| Abe Dunn; Joshua D. Gottlieb; Adam Shapiro; Daniel J. Sonnenstuhl; Pietro Tebaldi | |
| 发表日期 | 2021-07-12 |
| 出版年 | 2021 |
| 语种 | 英语 |
| 摘要 | Who bears the consequences of administrative problems in healthcare? We use data on repeated interactions between a large sample of U.S. physicians and many different insurers to document the complexity of healthcare billing, and estimate its economic costs for doctors and consequences for patients. Observing the back-and-forth sequences of claims' denials and resubmissions for past visits, we can estimate physicians' costs of haggling with insurers to collect payments. Combining these costs with the revenue never collected, we estimate that physicians lose 17% of Medicaid revenue to billing problems, compared with 5% for Medicare and 3% for commercial payers. Identifying off of physician movers and practices that span state boundaries, we find that physicians respond to billing problems by refusing to accept Medicaid patients in states with more severe billing hurdles. These hurdles are just as quantitatively important as payment rates for explaining variation in physicians' willing to treat Medicaid patients. We conclude that administrative frictions have first-order costs for doctors, patients, and equality of access to healthcare. |
| 主题 | Public Economics ; National Fiscal Issues ; Subnational Fiscal Issues ; Health, Education, and Welfare ; Health ; Industrial Organization ; Market Structure and Firm Performance ; Nonprofits ; Industry Studies |
| URL | https://www.nber.org/papers/w29010 |
| 来源智库 | National Bureau of Economic Research (United States) |
| 引用统计 | |
| 资源类型 | 智库出版物 |
| 条目标识符 | http://119.78.100.153/handle/2XGU8XDN/586684 |
| 推荐引用方式 GB/T 7714 | Abe Dunn,Joshua D. Gottlieb,Adam Shapiro,et al. A Denial a Day Keeps the Doctor Away. 2021. |
| 条目包含的文件 | ||||||
| 文件名称/大小 | 资源类型 | 版本类型 | 开放类型 | 使用许可 | ||
| w29010.pdf（14509KB） | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 | ||
除非特别说明，本系统中所有内容都受版权保护，并保留所有权利。
