G2TT
来源类型Working Paper
规范类型报告
DOI10.3386/w4822
来源IDWorking Paper 4822
Optimal Regulation of Multiply-Regulated Industries: The Case of Physician Services
John A. Rizzo; Jody L. Sindelar
发表日期1994-08-01
出版年1994
语种英语
摘要This paper models the physician services market which is regulated by two government agencies. The Health Care Financing Administration (HCFA) sets Medicare physician fees through the newly implemented Resource Based Relative Value Scale (RBRVS). The Agency for Health Care Policy and Research (AHCPR) sets practice guidelines for quality. We analyze welfare losses which occur when agencies fail to coordinate their regulatory activities. Specifically, we consider the welfare impacts for cost, quality, practice characteristics, and quantity of care. Perceived ills in the market for physician services, such as excessive expenditures and overly intensive treatment, may be traced to coordination failures. Thus, even if physicians were to act as perfect agents for their patients, and even if moral hazard were to be eliminated, coordination failure could cause the critical problems associated with the physician services market to persist. Although the model is applied to the market for physician services, it can be readily generalized to other settings involving multiple regulators.
主题Health, Education, and Welfare ; Health
URLhttps://www.nber.org/papers/w4822
来源智库National Bureau of Economic Research (United States)
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条目标识符http://119.78.100.153/handle/2XGU8XDN/562229
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John A. Rizzo,Jody L. Sindelar. Optimal Regulation of Multiply-Regulated Industries: The Case of Physician Services. 1994.
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