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医生是否愿意接受更高的医疗保险价格? 来自阿拉斯加的证据

Elizabeth Munnich博士 陈,A. 帕伦特,S. 理查兹,M.
政策分析与管理杂志。 九月1,2022

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医疗保险是一项大约 700 亿美元的公共计划,其中医生支付是其最大的支出之一。 医疗保险的价格也是由行政决定的,这使得支付结构的变化受制于可能引入特殊特征甚至不正当激励措施的政治过程。 同时,医生对医疗保险报销变化的反应可能会根据政策的持续时间、范围和规模而有所不同。 我们研究了一个广泛的联邦法律包含特定条款的环境,这些条款在经济上使一小群人受益:阿拉斯加医生。 以地域为目标的支付改革在关键方面也是独一无二的。 使用差异中的差异策略,我们发现大的、临时的价格变化会增加支出,但不会引起可察觉的供应反应。 相反,慷慨和持久的价格冲击会导致更大的服务流量,但在各个专业之间并不统一。 我们的研究结果表明,国会可能会通过财政效率低下的医疗保险支出来实现其他立法目标。

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