Title page for ETD etd-06102012-040259

Type of Document Master's Thesis
Author Shlifer, Marc
URN etd-06102012-040259
Title Determinants of physician participation in the medicare assignment program
Degree Master of Arts
Department Economics
Advisory Committee
Advisor Name Title
Meiselman, David I. Committee Chair
Freiden, Alan N. Committee Member
Mackay, Robert J. Committee Member
  • cost of medical care
Date of Defense 1988-12-15
Availability restricted
The Medicare Participating Physician Program was

enacted in 1984 in an effort to increase physician

assignment of Medicare claims, and thereby reduce

beneficiary out of-pocket expenses. The program offers the

physician the security of near-certain payment on all

claims, although at rates that are in many cases, at levels

substantially, less than actual physician fees. This paper

examines the economic factors that influence the physician's

decision on participation.

Physicians of the Medical Society of Prince William County, Virginia, were surveyed for information relevant to

making the participation decision and the responses tabulated and used as input to a ergre rgersessisioonn equation

estimated using the logit technique. Physicians are more

likely to participate the higher the relative price received

for participating and the lower the probability of payment

by Medicare-eligible patients. Additionally, salaried

physicians are more likely to partiCipate than those who are self-employed.

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