• Report

A comparison of Medicare physician fees, physician charges, fees of other payors, and model Medicare fee schedule amounts. Final Report

Citation

Pope, G., Cromwell, J., Davidson, S. M., & Mitchell, J. (1991). A comparison of Medicare physician fees, physician charges, fees of other payors, and model Medicare fee schedule amounts. Final Report. Waltham, MA: Health Policy Research Consortium.

Abstract

This report examines Medicare fees relative to physician charges and what other insurers pay. The report is divided into two parts. The first part utilizes a 1984 nationwide survey that asked physicians what they charged and were paid by various insurers for specified services. National, urban-rural, and regional comparisons of 1984 physician charges, Medicare fees, Blue Shield fees, commercial insurer fees, and Medicaid fees by specialty for various services are made. The second part compares 1988 physician charges, Medicare fees, simulated Model Medicare Fee Schedule* amounts, and commercial insurer fees for 24 selected surgical and medical services in 29 urban and rural areas in 11 states.