How Much Uncompensated Care do Doctors Provide?

Jonathan Gruber and David Rodriguez

No 13585, NBER Working Papers from National Bureau of Economic Research, Inc

Abstract: The magnitude of provider uncompensated care has become an important public policy issue. Yet existing measures of uncompensated care are flawed because they compare uninsured payments to list prices, not to the prices actually paid by the insured. We address this issue using a novel source of data from a vendor that processes financial data for almost 4000 physicians. We measure uncompensated care as the net amount that physicians lose by lower payments from the uninsured than from the insured. Our best estimate is that physicians provide negative uncompensated care to the uninsured, earning more on uninsured patients than on insured patients with comparable treatments. Even our most conservative estimates suggest that uncompensated care amounts to only 0.8% of revenues, or at most $3.2 billion nationally. These results highlight the important distinction between charges and payments, and point to the need for a re-definition of uncompensated care in the health sector going forward.

JEL-codes: I1 (search for similar items in EconPapers)
Date: 2007-11
New Economics Papers: this item is included in nep-hea
Note: EH
References: View complete reference list from CitEc
Citations: View citations in EconPapers (24)

Published as Gruber, Jonathan & Rodriguez, David, 2007. "How much uncompensated care do doctors provide?," Journal of Health Economics, Elsevier, vol. 26(6), pages 1151-1169, December.

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