Provider turf wars and Medicare payment rules : University of Louisville – College of Business Skip to main content

Provider turf wars and Medicare payment rules

Elizabeth Munnich, PhD Alice J. Chen Stephen T. Parente Michael R. Richards
Journal of Public Economics. February 1, 2023

View Publication


Barriers to entry and scope of work restrictions are common features of US labor markets, especially within healthcare industries. However, concerns over access and costs of care have encouraged some deregulation. We empirically explore relaxed occupational rules of anesthesia care whereby physician-trained anesthesiologists and certified registered nurse anesthetists (CRNAs) perform overlapping services but often engage in joint production. After CRNAs were granted practice independence, we find only modest (3%) reductions in anesthesiologist billing for CRNA supervision and no evidence of greater use of CRNAs. Our results caution policymakers against overestimating the downstream impact resulting from removing these provider regulations.

slot demo 2023 akun slot demo slot demo slot gacor maxwin judi online slot demo slot demo slot pulsa link slot gacor slot online slot gacor slot slot gacor slot demo slot demo slot gacor link slot gacor