Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Search research articles

Related Experiment Videos

Do physicians cost shift?

T Rice¹, S Stearns, S DesHarnais

¹Department of Health Services, University of California, Los Angeles, School of Public Health, USA.

Health Affairs (Project Hope)

|January 1, 1996

Summary

This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

OUTPACE: Outcomes of urinary incontinence treatment in primary care - APP co-management and electronic consult.

Contemporary clinical trials·2025

Same author

The community engagement course and action network: strengthening community and academic research partnerships to advance health equity.

Frontiers in public health·2023

Same author

Implementation of behaviour change training in practice amongst pharmacy professionals in primary care settings: Analysis using the COM-B model.

Research in social & administrative pharmacy : RSAP·2023

Same author

A randomized controlled trial comparing tapentadol with oxycodone in non-breastfeeding women post elective cesarean section.

Current medical research and opinion·2018

Same author

The impact of timing of maternal influenza immunization on infant antibody levels at birth.

Clinical and experimental immunology·2018

Same author

Sub-acute herpes simplex virus myelitis in a patient with esophageal cancer on chemo-radiation with 5-fluorouracil: a case report.

Acute medicine·2018

Same journal

National Health Expenditure Projections, 2025-34: Strong Utilization Growth Initially, Legislative Impacts Later.

Health affairs (Project Hope)·2026

Same journal

State Medicaid Programs Face Increased Spending On Medicare Premiums.

Health affairs (Project Hope)·2026

Same journal

Not enough time.

Health affairs (Project Hope)·2026

Same journal

Medicaid Tobacco And Nicotine Cessation Treatment Rates Remained Low, 2019-24.

Health affairs (Project Hope)·2026

Same journal

Third-Party Convener Firms And The Rise Of Geographically Dispersed, High-Earning Medicare ACOs.

Health affairs (Project Hope)·2026

Same journal

The Opacity Of Price Transparency.

Health affairs (Project Hope)·2026

See all related articles

Physicians did not increase charges to privately insured patients when Medicare payment rates were reduced. This study found no evidence of cost shifting from Medicare to private insurance following payment cuts.

Area of Science:

Health Economics
Medical Policy

Background:

Medicare payment rates for procedures were reduced by up to 30 percent in 1989-1990.
Physician cost shifting is a potential response to reduced Medicare reimbursement.

Purpose of the Study:

To investigate if physicians increase charges to privately insured patients following Medicare payment reductions.
To determine the presence and extent of cost shifting in response to Medicare policy changes.

Main Methods:

Analysis of physician billing data in response to Medicare payment changes.
Examining the correlation between Medicare rate reductions and charges to privately insured patients.

Main Results:

No statistically significant evidence was found to support cost shifting.

Related Experiment Videos

Physician charges to privately insured patients remained consistent despite Medicare payment reductions.

Conclusions:

Physicians did not engage in cost shifting to compensate for Medicare payment reductions.
Medicare payment policies may not directly influence physician pricing for privately insured individuals.