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> or the patient would be responsible for the amount over the coverage

Medicare's current terms don't allow that. If you accept Medicare and charge more than 15% over the Medicare price, you stop being eligible for reimbursement by Medicare.

Those terms could be changed, of course. But then it's worth asking why that limitation is in place now.



Good question. But yeah, seems like a relatively minor change compared to what I'm proposing. I'm sure it wouldn't play well politically, though.




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