Economics at your fingertips  

Health Service Gatekeepers

James Malcomson ()

RAND Journal of Economics, 2004, vol. 35, issue 2, 401-421

Abstract: Incentive contracts for gatekeepers who control patient access to specialist medical services provide too-weak incentives to investigate cost further when the expected cost of treatment is greater than the benefit. Making gatekeepers residual claimants with a fixed fee from which treatment costs must be met (as with full insurers who are themselves gatekeepers) provides too-strong incentives when the expected cost is less than the benefit. Giving patients the choice between a gatekeeper with an incentive contract and one without is unstable. With one scenario, patients always prefer the latter. With another, patients have incentives to acquire information that makes incentive contracts ineffective can switch between a prisoners' dilemma and a coordination game.

Date: 2004
References: Add references at CitEc
Citations: View citations in EconPapers (12) Track citations by RSS feed

There are no downloads for this item, see the EconPapers FAQ for hints about obtaining it.

Related works:
Working Paper: Health Service Gatekeepers (2003) Downloads
Working Paper: Health Service Gatekeepers (2003) Downloads
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link:

Ordering information: This journal article can be ordered from
https://editorialexp ... i-bin/rje_online.cgi

Access Statistics for this article

More articles in RAND Journal of Economics from The RAND Corporation
Bibliographic data for series maintained by ().

Page updated 2019-12-02
Handle: RePEc:rje:randje:v:35:y:2004:2:p:401-421