Physician-based measures of Medicare access

Inquiry. Fall 1992;29(3):321-31.


Physician payment reforms implemented in January 1992 have dramatically changed the way payments for services are determined under the Medicare Part B program. This paper presents new measures of access using physician-level data that provide a baseline for monitoring changes in access that might occur as these payment reforms unfold and that allow us to examine recent access trends. Our results suggest that Medicare beneficiaries as a group currently have a high degree of access to care, and that access generally improved between 1986 and 1990.

MeSH terms

  • Financial Management / standards
  • Health Services Accessibility / economics*
  • Health Services Research / methods*
  • Health Services Research / standards
  • Income / statistics & numerical data
  • Medicare Assignment / statistics & numerical data*
  • Medicare Part B / statistics & numerical data*
  • Medicine / statistics & numerical data
  • Physicians / statistics & numerical data
  • Quality Assurance, Health Care / organization & administration
  • Reimbursement Mechanisms
  • Specialization
  • United States
  • Utilization Review / methods