Paying For Primary Care: The Factors Associated With Physician Self-Selection Into Payment Models

David Rudoler, Raisa Deber, Janet Barnsley, Richard Glazier and Audrey Laporte

No 140005, Working Papers from Canadian Centre for Health Economics

Abstract: In this paper we use a panel of administrative data to determine the factors associated with primary care physician self-selection into different payment models in Ontario, Canada. We find that primary care physicians will self-select into payment models based on existing practice and individual characteristics. These patterns of self-selection largely follow a utility maximizing model of physician behaviour; physicians with more complex patient populations are less likely to switch into capitation-based payment models where higher levels of effort are not financially rewarded. These findings have implications for future work that considers the impact of payment incentives on provider behaviour, and for governments introducing multiple payment models in a single healthcare sector.

Keywords: Physician behaviour; financial incentives; administrative data; panel data (search for similar items in EconPapers)
JEL-codes: D21 D22 I11 (search for similar items in EconPapers)
Pages: 31 pages
Date: 2014-03
New Economics Papers: this item is included in nep-hea and nep-hrm
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Citations: View citations in EconPapers (4)

Published Online, March 2014

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Persistent link: https://EconPapers.repec.org/RePEc:cch:wpaper:140005

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