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Jelovac I. Physicians' balance billing, supplemental insurance and access to health care. Int J Health Econ Manag. 2015;15(2):269-280doi: 10.1007/s10754-015-9162-4.
Jelovac, I. (2015). Physicians' balance billing, supplemental insurance and access to health care. International journal of health economics and management, 15(2), 269-280. https://doi.org/10.1007/s10754-015-9162-4
Jelovac, Izabela. "Physicians' balance billing, supplemental insurance and access to health care." International journal of health economics and management vol. 15,2 (2015): 269-280. doi: https://doi.org/10.1007/s10754-015-9162-4
Jelovac I. Physicians' balance billing, supplemental insurance and access to health care. Int J Health Econ Manag. 2015 Jun;15(2):269-280. doi: 10.1007/s10754-015-9162-4. Epub 2015 Jan 20. PMID: 27878701.
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Int J Health Econ Manag. 2015 Jun;15(2):269-280. doi: 10.1007/s10754-015-9162-4. Epub 2015 Jan 20.

Physicians' balance billing, supplemental insurance and access to health care.

International journal of health economics and management

Izabela Jelovac

Affiliations

  1. University of Lyon, 69007, Lyon, France. [email protected].
  2. CNRS, GATE Lyon Saint-Etienne, 69130, Ecully, France. [email protected].

PMID: 27878701 DOI: 10.1007/s10754-015-9162-4

Abstract

Some countries allow physicians to balance bill patients, that is, to bill a fee above the one that is negotiated with, and reimbursed by the health authorities. Balance billing is known for restricting access to physicians' services while supplemental insurance against balance billing amounts is supposed to alleviate the access problem. This paper analyzes in a theoretical setting the consequences of balance billing on the fees setting and on the inequality of access among the users of physicians' services. It also shows that supplemental insurance against the expenses associated with balance billing, rather than alleviating the access problem, increases it.

Keywords: Balance billing; Physicians’ fees; Supplemental insurance

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