Fee for service vs. capitation: How financial incentives affect medical service provision

Today I will be briefly be reviewing four recent articles which examine how physician payment methods affect the amount of medical service provision. GP reimbursement in Ireland Madden, Nolan and Nolan (Health Econ 2005) use a quasi-experimental framework to see how changing physician compensation affects the number of doctors visits. In Ireland approximately 30% of…

Information on Referrals II

If my October 10th post did not satiate your desire for knowledge regarding referrals, today I give you even more information.  Franks, Zwanziger, Mooney and Sorbero examine a large Rochester, NY Independent Practitioner Association (IPA).  The authors find a mean patient referred/patients seen/year of 0.37.  The data show that referral rates remain very stable by physician over time, likely…

Information on Referrals

Years ago, when someone needed care from a doctor they visited the physician directly whether they were a general practitioner or a specialist.  Nowadays, it is rarer for patients to visit a specialist without a referral.  The typical referral comes from a primary care physician, but it is also common for a specialist to refer…