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September 14, 2026JAMA Health ForumOpen Access

How Regulatory Restrictions on Physician Dual Fee Schedules and Cash Pricing Make Health Care More Expensive

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Authors

DHDavid A. HymanSHSidney HaitoffGBGe Bai

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Overview

Policy analysis demonstrates increased health care costs from restrictions on physician dual fee schedules, suggesting that flexible cash pricing promotes affordability.

Key Points

  • To examine how state and federal regulatory restrictions on physician dual fee schedules and cash-based pricing contribute to rising health care expenditures.
  • Evaluated state and federal regulatory frameworks governing physician billing and restrictions on dual fee schedules.
  • Assessed health policy mechanisms linking limits on direct-pay cash pricing to aggregate health care expenditures.
  • Identified regulatory barriers that prevent physicians from discounting cash prices below contracted commercial insurance rates.
  • Found that restricting dual fee schedules suppresses market price competition and directly drives higher overall health care costs.

Cite This Study

Hyman et al. (2026) studied this question.

synapsesocial.com/papers/6aa7b29f0926e14a848b11d3https://doi.org/10.1001/jamahealthforum.2026.2881
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