How payment systems affect physicians' provision behaviour--an experimental investigation.

Abstract:

:Understanding how physicians respond to incentives from payment schemes is a central concern in health economics research. We introduce a controlled laboratory experiment to analyse the influence of incentives from fee-for-service and capitation payments on physicians' supply of medical services. In our experiment, physicians choose quantities of medical services for patients with different states of health. We find that physicians provide significantly more services under fee-for-service than under capitation. Patients are overserved under fee-for-service and underserved under capitation. However, payment incentives are not the only motivation for physicians' quantity choices, as patients' health benefits are of considerable importance as well. We find that patients in need of a high (low) level of medical services receive larger health benefits under fee-for-service (capitation).

journal_name

J Health Econ

authors

Hennig-Schmidt H,Selten R,Wiesen D

doi

10.1016/j.jhealeco.2011.05.001

subject

Has Abstract

pub_date

2011-07-01 00:00:00

pages

637-46

issue

4

eissn

0167-6296

issn

1879-1646

pii

S0167-6296(11)00045-2

journal_volume

30

pub_type

杂志文章
  • Managing genetic tests, surveillance, and preventive medicine under a public health insurance system.

    abstract::There is a prospect in the medium to long term future of substantial advancements in the understanding of the relationship between disease and genetics. We consider the implications of increased information from genetic tests about predisposition to diseases from the perspective of managing health care provision under...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2013.12.003

    authors: Filipova-Neumann L,Hoy M

    更新日期:2014-03-01 00:00:00

  • Price competition in pharmaceuticals - Evidence from 1303 Swedish markets.

    abstract::We study the short- and long-term price effects of the number of competing firms, using panel-data on 1303 distinct pharmaceutical markets for 78 months within a reference-price system. We use actual transaction prices in an institutional setting with little scope for non-price competition and where simultaneity probl...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2018.06.009

    authors: Granlund D,Bergman MA

    更新日期:2018-09-01 00:00:00

  • Patient cost sharing and medical expenditures for the Elderly.

    abstract::Despite the rapidly aging population, relatively little is known about how cost sharing affects the elderly's medical spending. Exploiting longitudinal claims data and the drastic reduction of coinsurance from 30% to 10% at age 70 in Japan, we find that the elderly's demand responses are heterogeneous in ways that hav...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2015.10.005

    authors: Fukushima K,Mizuoka S,Yamamoto S,Iizuka T

    更新日期:2016-01-01 00:00:00

  • Workplace performance effects from chronic depression and its treatment.

    abstract::Utilizing data from a clinical trial and an econometric model incorporating the impact of a medical intervention and regression to the mean, we present evidence supporting the hypotheses that for chronically depressed individuals: (i) the level of perceived at-work performance is negatively related to the severity of ...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/s0167-6296(97)00043-x

    authors: Berndt ER,Finkelstein SN,Greenberg PE,Howland RH,Keith A,Rush AJ,Russell J,Keller MB

    更新日期:1998-10-01 00:00:00

  • Understanding heterogeneity in the effects of birth weight on adult cognition and wages.

    abstract::A large economics literature has shown long term impacts of birth weight on adult outcomes, including IQ and earnings that are often robust to sibling or twin fixed effects. We examine potential mechanisms underlying these effects by incorporating findings from the genetics and neuroscience literatures. We use a sampl...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2015.01.005

    authors: Justin Cook C,Fletcher JM

    更新日期:2015-05-01 00:00:00

  • Canadian medical malpractice liability: an empirical analysis of recent trends.

    abstract::The determinants of the frequency of Canadian malpractice claims, the proportion of claims that result in payment, and the severity of these claims are examined. Inter-specialty variation in the frequency of malpractice claims is almost entirely related to the differential performance of major surgery. Various legal d...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/0167-6296(91)90002-5

    authors: Coyte PC,Dewees DN,Trebilcock MJ

    更新日期:1991-07-01 00:00:00

  • Having the wrong friends? Peer effects in adolescent substance use.

    abstract::Swedish cross-sectional survey data on young individuals aged 12-18-year-old was used to analyse school-class based peer effects in binge drinking, smoking and illicit-drug use. Significant and positive peer effects were found for all three activities. By introducing school/grade fixed effects, the estimated peer effe...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2005.02.001

    authors: Lundborg P

    更新日期:2006-03-01 00:00:00

  • Medicare prospective payment and the volume and intensity of skilled nursing facility services.

    abstract::In 1998, Medicare adopted a per diem Prospective Payment System (PPS) for skilled nursing facility care, which was intended to deter the use of high-cost rehabilitative services. The average per diem decreased under the PPS, but because per diems increased for greater therapy minutes, the ability of the PPS to deter t...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2011.05.014

    authors: Grabowski DC,Afendulis CC,McGuire TG

    更新日期:2011-07-01 00:00:00

  • Narrow provider networks and willingness to pay for continuity of care and network breadth.

    abstract::Tiered and narrow provider networks are mechanisms implemented by health plans to reduce health care costs. The benefits of narrow networks for consumers usually come in the form of lower premiums in exchange for access to fewer providers. Narrow networks may disrupt continuity of care and access to usual sources of c...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2018.06.006

    authors: Higuera L,Carlin CS,Dowd B

    更新日期:2018-07-01 00:00:00

  • The impact of cannabis access laws on opioid prescribing.

    abstract::While recent research has shown that cannabis access laws can reduce the use of prescription opioids, the effect of these laws on opioid use is not well understood for all dimensions of use and for the general United States population. Analyzing a dataset of over 1.5 billion individual opioid prescriptions between 201...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2019.102273

    authors: McMichael BJ,Van Horn RL,Viscusi WK

    更新日期:2020-01-01 00:00:00

  • Why do transplant surgeons turn down organs? A model of the accept/reject decision.

    abstract::Despite the scarcity of transplantable organs, 45% of livers are rejected by the first surgeon to whom they are offered. I present a model in which a surgeon decides to accept or reject an organ for a patient based on the patient's current health level. Using data on transplanted patients, I show that surgeons' behavi...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/s0167-6296(02)00077-2

    authors: Howard DH

    更新日期:2002-11-01 00:00:00

  • Monopsony power and relative wages in the labor market for nurses.

    abstract::This paper examines the thesis that monopsony power is an important determinant of wages in nursing labor markets. Using data from the 1985-93 Current Population Surveys, measures of relative nurse/non-nurse wage rates for 252 labor markets are constructed. Contrary to predictions from the monopsony model, no positive...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/0167-6296(95)00013-8

    authors: Hirsch BT,Schumacher EJ

    更新日期:1995-10-01 00:00:00

  • A further analysis of the physician inducement controversy.

    abstract::This article extends several recent contributions that have compared the physician-induced demand hypothesis to the theory of a monopoly where advertising is included as a decision variable. By introducing a standard profit-maximizing model with inducement, it derives the conditions for the optimum level of inducement...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/0167-6296(87)90010-5

    authors: Stano M

    更新日期:1987-09-01 00:00:00

  • The economic determinants of specialty choice by medical residents.

    abstract::This paper analyzes how economic factors (relative expected earnings, relative expected hours worked, and relative length of training period) affect the distribution of medical residents across specialties. The results show that the percent of residents in a given specialty changes more than proportionately when relat...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/0167-6296(90)90050-d

    authors: McKay NL

    更新日期:1990-11-01 00:00:00

  • First do no harm - The impact of financial incentives on dental X-rays.

    abstract::This article assesses the impact of dentist remuneration on the incidence of potentially harmful dental X-rays. We use unique panel data which provide details of 1.3 million treatment claims by Scottish NHS dentists made between 1998 and 2007. Controlling for unobserved heterogeneity of both patients and dentists we e...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2017.12.005

    authors: Chalkley M,Listl S

    更新日期:2018-03-01 00:00:00

  • Determinants of managed care penetration.

    abstract::This paper examines factors associated with differences in managed care penetration across geographic areas. Two alternative measures of managed care penetration are considered: the percentage of revenue physicians received from managed care contracts and market survey data on enrollments in managed care plans. Result...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/s0167-6296(97)00045-3

    authors: Dranove D,Simon CJ,White WD

    更新日期:1998-12-01 00:00:00

  • The effects of hospital competition and the Medicare PPS program on hospital cost behavior in California.

    abstract::Previous studies of hospital competition have found that greater competition leads to higher hospital costs. In this paper we report how the behavior of California's hospitals has changed since the introduction of programs intended to contain the rate of increase of hospital costs. Using data that cover the period pre...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/0167-6296(88)90018-5

    authors: Zwanziger J,Melnick GA

    更新日期:1988-12-01 00:00:00

  • How disability insurance reforms change the consequences of health shocks on income and employment.

    abstract::This paper examines whether Dutch disability insurance reforms have helped or hindered employment opportunities of workers that are facing unanticipated shocks to their health. An important component of the reforms was to make employers responsible for paying sickness benefits and to strengthen their sickness monitori...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2018.09.004

    authors: Hullegie P,Koning P

    更新日期:2018-11-01 00:00:00

  • Defining health inequality: why Rawls succeeds where social welfare theory fails.

    abstract::While there has been an important increase in methodological and empirical studies on health inequality, not much has been written on the theoretical foundation of health inequality measurement. We discuss several reasons why the classic welfare approach, which is the foundation of income inequality analysis, fails to...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/s0167-6296(01)00138-2

    authors: Bommier A,Stecklov G

    更新日期:2002-05-01 00:00:00

  • Equity during an economic crisis: financing of the Argentine health system.

    abstract::This article analyses the redistributive effect caused by health financing and the distribution of healthcare utilization in Argentina before and during the severe 2001/2002 economic crisis. Both dramatically changed during this period: the redistributive effect became much more positive and utilization shifted from p...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2010.03.008

    authors: Cavagnero E,Bilger M

    更新日期:2010-07-01 00:00:00

  • Price and welfare effects of a pharmaceutical substitution reform.

    abstract::The price effects of the Swedish pharmaceutical substitution reform are analyzed using data for a panel of all pharmaceutical product sold in Sweden in 1997-2007. The price reduction due to the reform was estimated to average 10% and was found to be significantly larger for brand-name pharmaceuticals than for generics...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2010.08.003

    authors: Granlund D

    更新日期:2010-12-01 00:00:00

  • Equity in health: the importance of different health streams.

    abstract::This paper develops a conceptual framework in which preferences about the distribution of future health gains depend on differences in four 'health streams'. These are as follows: (1) the amount of health to be gained; (2) the no-treatment profiles; (3) the amount of health experienced thus far: and (4) the amount of ...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/s0167-6296(01)00095-9

    authors: Dolan PA,Olsen JA

    更新日期:2001-09-01 00:00:00

  • Future costs in economic evaluation. A comment on Lee.

    abstract::In a recent article in this journal Lee argued that indirect medical costs should be ignored in economic evaluations. To reach this conclusion, Lee uses an unrealistic and uncommon budget constraint. This comment highlights a number of methodological problems in Lee's analysis. Moreover, it highlights that looking at ...

    journal_title:Journal of health economics

    pub_type: 评论,杂志文章

    doi:10.1016/j.jhealeco.2008.07.007

    authors: Feenstra TL,van Baal PH,Gandjour A,Brouwer WB

    更新日期:2008-12-01 00:00:00

  • An economic evaluation of the war on cancer.

    abstract::For decades, the US public and private sectors have committed substantial resources towards cancer research, but the societal payoff has not been well-understood. We quantify the value of recent gains in cancer survival, and analyze the distribution of value among various stakeholders. Between 1988 and 2000, life expe...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2010.02.006

    authors: Lakdawalla DN,Sun EC,Jena AB,Reyes CM,Goldman DP,Philipson TJ

    更新日期:2010-05-01 00:00:00

  • Health inequality and non-monotonicity of the health related social welfare function.

    abstract::In a recent paper in this journal Abasolo and Tsuchiya [Abasolo, I., Tsuchiya, A., 2004. Exploring social welfare functions and violation of monotonicity: an example from inequalities in health. Journal of Health Economics 23, 313-329] have strongly argued for the use of a non-monotonic health related social welfare f...

    journal_title:Journal of health economics

    pub_type: 评论,杂志文章

    doi:10.1016/j.jhealeco.2006.08.001

    authors: Dutta I

    更新日期:2007-03-01 00:00:00

  • Is there empirical evidence for "Defensive Medicine"? A reassessment.

    abstract::Proponents of tort reform applied to medical malpractice argue for change partly on the premise that the threat of lawsuits has made medical care more costly. Using U.S. longitudinal data from the National Long-Term Care Survey merged with Medicare claims and other data for 1985-2000, this study assesses whether tort ...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2008.12.006

    authors: Sloan FA,Shadle JH

    更新日期:2009-03-01 00:00:00

  • Social networks and health service utilization.

    abstract::While social networks have been examined in the context of many economic choices and outcomes, this study is the first to investigate the effects of social networks on health service utilization decisions. Networks can affect utilization decisions in many ways. They can provide information on institutional details of ...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2005.03.008

    authors: Deri C

    更新日期:2005-11-01 00:00:00

  • Does health plan generosity enhance hospital market power?

    abstract::We test whether the generosity of employer-sponsored health insurance facilitates the exercise of market power by hospitals. We construct indices of health plan generosity and the price and volume of hospital services using data from Truven MarketScan for 601 counties from 2001 to 2007. We use variation in the industr...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2015.08.007

    authors: Baker LC,Bundorf MK,Kessler DP

    更新日期:2015-12-01 00:00:00

  • Note. Evaluating exclusionary interventions.

    abstract::In evaluation research, some interventions are designed to affect both the subjects that receive the intervention and those that do not. Preferred provider organizations (PPOs) are an example, because if they are successful, PPOs will direct patients away from non-preferred providers towards preferred providers. When ...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/0167-6296(91)90034-k

    authors: Dowd B,Feldman R

    更新日期:1991-10-01 00:00:00

  • Treatment decisions under ambiguity.

    abstract::Many health risks are ambiguous in the sense that reliable and credible information about these risks is unavailable. In health economics, ambiguity is usually handled through sensitivity analysis, which implicitly assumes that people are neutral towards ambiguity. However, empirical evidence suggests that people are ...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2013.02.001

    authors: Berger L,Bleichrodt H,Eeckhoudt L

    更新日期:2013-05-01 00:00:00