Who joins the network? Physicians’ resistance to take budgetary co-responsibility

Maurus Rischatsch

Journal of Health Economics, 2015, vol. 40, issue C, 109-121

Abstract: Managed Care (MC) is expected to provide health care at a lower cost than conventional provision. Therefore, Switzerland intends to promote MC by forcing health insurers to write MC contracts and introducing budgetary co-responsibility for ambulatory care physicians. A discrete choice experiment conducted in 2011 including 872 physicians reveals a strong preference heterogeneity with respect to network participation and alternative remuneration schemes. The number of physicians working in networks is unlikely to rise on a voluntary basis, while general practitioners are more likely to join networks than specialists with surgical activities. For physicians considering joining networks, cost savings are predicted to be higher than the estimated willingness-to-accept payments.

Keywords: Physician reimbursement; Managed Care; Physician networks; Latent-class logit; Discrete choice experiment (search for similar items in EconPapers)
JEL-codes: C5 D8 I1 (search for similar items in EconPapers)
Date: 2015
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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Persistent link: https://EconPapers.repec.org/RePEc:eee:jhecon:v:40:y:2015:i:c:p:109-121

DOI: 10.1016/j.jhealeco.2014.12.002

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