Abstract:
:We study an enhanced fee-for-service model for primary care physicians in the Family Health Groups (FHG) in Ontario, Canada. In contrast to the traditional fee-for-service (FFS) model, the FHG model includes targeted fee increases, extended hours, performance-based initiatives, and patient enrolment. Using a long panel of claims data, we find that the FHG model significantly increases physician productivity relative to the FFS model, as measured by the number of services, patient visits, and distinct patients seen. We also find that the FHG physicians have lower referral rates and treat slightly more complex patients than the comparable FFS physicians. These results suggest that the FHG model offers a promising alternative to the FFS model for increasing physician productivity.
journal_name
J Health Econjournal_title
Journal of health economicsauthors
Kantarevic J,Kralj B,Weinkauf Ddoi
10.1016/j.jhealeco.2010.10.005subject
Has Abstractpub_date
2011-01-01 00:00:00pages
99-111issue
1eissn
0167-6296issn
1879-1646pii
S0167-6296(10)00136-0journal_volume
30pub_type
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