Enhanced fee-for-service model and physician productivity: evidence from Family Health Groups in Ontario.

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 Econ

authors

Kantarevic J,Kralj B,Weinkauf D

doi

10.1016/j.jhealeco.2010.10.005

subject

Has Abstract

pub_date

2011-01-01 00:00:00

pages

99-111

issue

1

eissn

0167-6296

issn

1879-1646

pii

S0167-6296(10)00136-0

journal_volume

30

pub_type

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