Evidence map›Paper›PMID 28713176›Full record

ArticleThe journal of political economy2017

In the Shadow of a Giant: Medicare's Influence on Private Physician Payments.

Jeffrey Clemens, Joshua D Gottlieb

Abstract read
In one paragraph

Article in The journal of political economy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 75 papers.

0numbers the graph read from it
0cells of the map it votes in
75citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

75 citing papers in PubMed.

  1. Trial
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  7. Trends in Treatment and Reimbursement of Dupuytren Disease.Journal of hand surgery global online · 2026
    Article
  8. Article
  9. Utilization and physician reimbursement patterns for radial head fractures in elderly patients.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026
    Article
  10. Article
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  12. Racial Differences in Work Relative Value Units for Outpatient Pediatric Dermatology Visits.JID innovations : skin science from molecules to population health · 2025
    Article
  13. Article
  14. Fee cuts for radiology and low-value imaging.International journal of health economics and management · 2025
    Article
  15. Article
  16. Article
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  19. Article
  20. Article

15 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Jeffrey ClemensUniversity of California, San Diego, and National Bureau of Economic Research.
Joshua D GottliebUniversity of British Columbia and National Bureau of Economic Research.

Funding

NBER Training Program in Aging and Health EconomicsT32AG000186 · NIA · NATIONAL BUREAU OF ECONOMIC RESEARCH · PI CUTLER, DAVID M, FINKELSTEIN, AMY N. · 1989 to 2024
$9.6M
Expanding the National Health AccountsP01AG031098 · NIA · NATIONAL BUREAU OF ECONOMIC RESEARCH · PI CUTLER, DAVID M · 2009 to 2013
$9.2M
NIA NIH HHS P01 AG031098NIA NIH HHS T32 AG000186
6 · The paper itself

Abstract

We analyze Medicare's influence on private insurers' payments for physicians' services. Using a large administrative change in reimbursements for surgical versus medical care, we find that private prices follow Medicare's lead. A $1.00 increase in Medicare's fees increases corresponding private prices by $1.16. A second set of Medicare fee changes, which generates area-specific payment shocks, has a similar effect on private reimbursements. Medicare's influence is strongest in areas with concentrated insurers and competitive physician markets, consistent with insurer-doctor bargaining. By echoing Medicare's pricing changes, these payment spillovers amplify Medicare's impact on specialty choice and other welfare-relevant aspects of physician practices.

Identifiers

PMID28713176
PMCPMC5509075

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.