JCHLPJournal of Contemporary Health Law and Policy
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One of the ways that several states have tried to cut costs is to lower Medicaid and Medicare payment rates to physicians according to a study published by the Journal of Contemporary Health Law and Policy, or JCHLP. The study further elucidates this problem by suggesting that increased upward pressure is put on rates that physicians charge to private payers like health insurance plans and individuals because of the cutbacks in state-sponsored public plans (Bloche & Jungman, 2002).
According to the JCHLP study (p.634), ...health plans are paying doctors to do the bean counting: to ration care at the bedside, often without their patients knowing it.