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Operating on commission: analyzing how physician financial incentives affect surgery rates

Jason Shafrin

Health Economics, 2010, vol. 19, issue 5, 562-580

Abstract: This paper employs a nationally representative, household‐based dataset in order to test how the compensation method of both the specialists and the primary care providers affects surgery rates. After controlling for adverse selection, I find that when specialists are paid through a fee‐for‐system scheme rather than on a capitation basis, surgery rates increase 78%. The impact of primary care physician compensation on surgery rates depends on whether or not referral restrictions are present. Copyright © 2009 John Wiley & Sons, Ltd.

Date: 2010
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https://doi.org/10.1002/hec.1495

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