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behavior. These features include: (1) physicians can choose a payment contract from a menu that includes an enhanced fee … blended capitation contract; (3) physicians sort selectively into the contracts based on their preferences; and (4) physicians … in the blended capitation model provide fewer services than physicians in the enhanced fee-for-service model. …
Persistent link: https://www.econbiz.de/10011288527
Primary care physicians have two roles: the healer and the gatekeeper. We show that, due to information asymmetries … truly sick and shirkers, will strictly prefer physicians who give priority to healing. The choice between work and sick … leave thus lies, essentially, with the patient. Interviews with Norwegian primary care physicians confirm this: Our …
Persistent link: https://www.econbiz.de/10003823078
Many health economists demand more competition in the health care system. They focus on the competition between sickness funds for insured and the competition between health care providers for contracts with sickness funds. But they neglect the competition between health care providers for...
Persistent link: https://www.econbiz.de/10003615904
Income cap or threshold systems rely on incentives that encourage physicians to limit medical expenditures, but little … is known about how physicians respond to these incentives. Conceptually, the threshold system is to physicians what an … in the 'taxable' billings of physicians in Ontario, Canada. We find that for services that the reform turned from …
Persistent link: https://www.econbiz.de/10003257741
Incentive contracts for gatekeepers who control patient access to specialist medical services provide too weak incentives to investigate cost further when expected cost of treatment is greater than benefit. Making gatekeepers residual claimants with a fixed fee from which treat-ment costs must...
Persistent link: https://www.econbiz.de/10011511048
We examine the strategic interaction in the market for physician services when the total budget for reimbursement is fixed. We show that this prospective payment system involves { compared to a fee-for-service remuneration system { a severe coordination problem, which potentially leads to the...
Persistent link: https://www.econbiz.de/10011398025
In most developed countries drugs are dispensed to patients through physicians and pharmacists. This paper studies the … a self-dispensation regime. Pharmacies in cantons that allow physicians to dispense drugs tend to have relatively higher …
Persistent link: https://www.econbiz.de/10011280788
In many healthcare markets, physicians can influence the volume (volume response) and the composition of the services … regulated at the federal level. Dispensing creates financial incentives for physicians to sell more drugs and to substitute …
Persistent link: https://www.econbiz.de/10011384026
The paper evaluates the German health care reform of 1997, using the individual number of doctor visits as outcome measure. A new econometric model, the Probit-Poisson-log-normal model with correlated errors, describes the data better than existing count data models. Moreover, it has an...
Persistent link: https://www.econbiz.de/10011402427
We exploit a large-scale natural experiment - the rollout of a nationwide electronic prescribing system in Finland - to study how digitization of prescriptions affects pharmaceutical use and health outcomes. We use comprehensive administrative data from patients treated with benzodiazepines,...
Persistent link: https://www.econbiz.de/10011998510