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来源类型Working Paper
规范类型报告
DOI10.3386/w8522
来源IDWorking Paper 8522
Incentives in HMOs
Martin Gaynor; James B. Rebitzer; Lowell J. Taylor
发表日期2001-10-01
出版年2001
语种英语
摘要We study the effect of physician incentives in an HMO network. Physician incentives are controversial because they may induce doctors to make treatment decisions that differ from those they would chose in the absence of incentives. We set out a theoretical framework for assessing the degree to which incentive contracts do in fact induce physicians to deviate from a standard guided only by patient interests and professional medical judgement. Our empirical evaluation of the model relies on details of the HMO's incentive contracts and access to the firm's internal expenditure records. We estimate that the HMO's incentive contract provides a typical physician an increase, at the margin, of $0.10 in income for each $1.00 reduction in medical utilization expenditures. The average response is a 5 percent reduction in medical expenditures. We also find suggestive evidence that financial incentives linked to commonly used quality measures may stimulate an improvement in measured quality.
主题Health, Education, and Welfare ; Health
URLhttps://www.nber.org/papers/w8522
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/566126
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GB/T 7714
Martin Gaynor,James B. Rebitzer,Lowell J. Taylor. Incentives in HMOs. 2001.
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