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The effect of a thirty per cent reduction in physician fees on Medicaid surgery rates in Massachusetts

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Listed:
  • Shwartz, M.
  • Martin, S.G.
  • Cooper, D.D.
  • Ljung, G.M.
  • Whalen, B.J.
  • Blackburn, J.

Abstract

In this paper, we use an interrupted time series analysis to assess the effect of a 30 per cent reduction in the Medicaid reimbursement fee for physician services on the rate at which eight elective surgical procedures were performed in the Massachusetts Medicaid population. Tonsillectomy/adenoidectomy is the only procedure in which there was a statistically significant decline in the rate of surgery in most areas of the state following the fee cut. There is some evidence of an increase in the rate of disc surgeries/spinal fusions. The rate of other procedures increased in some areas of the state and decreased in other areas in the period after the fee cut.

Suggested Citation

  • Shwartz, M. & Martin, S.G. & Cooper, D.D. & Ljung, G.M. & Whalen, B.J. & Blackburn, J., 1981. "The effect of a thirty per cent reduction in physician fees on Medicaid surgery rates in Massachusetts," American Journal of Public Health, American Public Health Association, vol. 71(4), pages 370-375.
  • Handle: RePEc:aph:ajpbhl:10.2105/ajph.71.4.370_8
    DOI: 10.2105/AJPH.71.4.370
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    Cited by:

    1. Eldenburg, Leslie & Soderstrom, Naomi & Willis, Veronda & Wu, Anne, 2010. "Behavioral changes following the collaborative development of an accounting information system," Accounting, Organizations and Society, Elsevier, vol. 35(2), pages 222-237, February.
    2. Jostein Grytten & Fredrik Carlsen & Irene Skau, 2008. "Primary physicians’ response to changes in fees," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 9(2), pages 117-125, May.

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