Public And Private Payments For Physician Office Visits

Health Aff (Millwood). 2017 Dec;36(12):2160-2164. doi: 10.1377/hlthaff.2017.0749.


We used data for 2014-15 from the Medical Expenditure Panel Survey to estimate standardized payments for nonelderly adults' physician office visits by type of insurance. Adults with public insurance, especially Medicaid, had substantially lower provider payments, out-of-pocket spending, and third-party payments than their peers with employer-sponsored or Marketplace insurance. Quantifying public-private payment differences can help clarify choices for financing health care among low-income Americans.

Keywords: Cost of Health Care; Insurance Coverage < Insurance; Medicaid; Physician Payment.

MeSH terms

  • Adult
  • Female
  • Health Benefit Plans, Employee / statistics & numerical data*
  • Health Expenditures / statistics & numerical data*
  • Humans
  • Insurance, Health / economics
  • Insurance, Health / statistics & numerical data
  • Insurance, Health, Reimbursement / statistics & numerical data*
  • Male
  • Medicaid / statistics & numerical data*
  • Medicare / statistics & numerical data*
  • Middle Aged
  • Office Visits / statistics & numerical data*
  • Poverty
  • Surveys and Questionnaires
  • United States