The Impacts of Physician Payments on Patient Access, Use, and Health
利用医疗补助报销率的外生变化,发现提高医生支付能减少患者被拒诊、增加就诊次数、改善自评健康并减少儿童缺课,对政策制定者评估支付改革有参考价值。
We examine how supply-side health insurance generosity affects patient access, use, and health. Exploiting large, exogenous changes in Medicaid reimbursement rates for physicians, we find that increasing payments for new patient office visits reduces reports of providers turning away beneficiaries: closing the gap in payments between Medicaid and private insurers would reduce more than half of disparities in access among adults and would eliminate such disparities among children. We further find that higher physician reimbursement leads to more office visits, better self-reported health, and reduced school absenteeism among the program’s beneficiaries.