Medical Malpractice Damage Caps and Provider Reimbursement
研究美国各州对医疗过失案件中的非经济损失赔偿设定上限后,医疗服务提供者向保险公司收费及保险公司报销金额的变化,发现收费不变但部分手术报销减少。
A common state legislative maneuver to combat rising healthcare costs is to reform the tort system by implementing caps on noneconomic damages awardable in medical malpractice cases. Using the implementation of caps in several states and large database of private insurance claims, I estimate the effect of damage caps on the amount providers charge to insurance companies as well as the amount that insurance companies reimburse providers for medical services. The amount providers charge insurers is unresponsive to tort reform, but the amount that insurers reimburse providers decreases for some procedures. Copyright © 2015 John Wiley & Sons, Ltd.