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Moral Hazard and Risk Spreading in Partnerships

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Author Info
Martin Gaynor
Paul Gertler

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Abstract

Partnerships provide a classic example of the tradeoff between risk spreading and moral hazard. The degree to which firms choose to spread risk and sacrifice efficiency incentives depends upon risk preferences, for which data are typically unavailable. We use a unique dataset on medical group practice to investigate this tradeoff. Risk aversion leads to compensation arrangements, which spread risk through greater sharing of revenues. We find that compensation arrangements with greater degrees of revenue sharing significantly reduce physician effort. The results imply that changing the method of physician payment from fee-for-service to capitation will dramatically reduce physician effort.

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File URL: http://links.jstor.org/sici?sici=0741-6261%28199524%2926%3A4%3C591%3AMHARSI%3E2.0.CO%3B2-8&origin=repec
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Publisher Info
Article provided by The RAND Corporation in its journal RAND Journal of Economics.

Volume (Year): 26 (1995)
Issue (Month): 4 (Winter)
Pages: 591-613
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Handle: RePEc:rje:randje:v:26:y:1995:i:winter:p:591-613

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  1. Jostein Grytten & Dorthe Holst & Irene Skau, 2009. "Incentives and remuneration systems in dental services," International Journal of Health Care Finance and Economics, Springer, vol. 9(3), pages 259-278, September. [Downloadable!] (restricted)
  2. Tomas Philipson & George Zanjani, 1997. "Consumption vs. Production of Insurance," NBER Working Papers 6225, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
  3. Etienne Dumont & Bernard Fortin & Nicolas Jacquemet & Bruce S. Shearer, 2008. "Physicians’ Multitasking and Incentives: Empirical Evidence from a Natural Experiment," CIRANO Working Papers 2008s-20, CIRANO. [Downloadable!]
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  4. Martin Gaynor, 1995. "Issues in the Industrial Organization of the Market for Physician Services," NBER Working Papers 4695, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
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  5. Bernard Fortin & Nicolas Jacquemet & Bruce Shearer, 2008. "Policy Analysis in the health-services market: accounting for quality and quantity," Université Paris1 Panthéon-Sorbonne (Post-Print and Working Papers) halshs-00305309_v1, HAL. [Downloadable!]
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  6. Robert Rosenman & Daniel Friesner, 2004. "Scope and scale inefficiencies in physician practices," Health Economics, John Wiley & Sons, Ltd., vol. 13(11), pages 1091-1116. [Downloadable!]
  7. Martin Gaynor & James B Rebitzer & Lowell J Taylor, 2002. "Incentives in HMO's," The Centre for Market and Public Organisation 03/089, Department of Economics, University of Bristol, UK. [Downloadable!]
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  8. Pascal Courty & Gerald R. Marschke, 2008. "On the Sorting of Physicians across Medical Occupations," NBER Working Papers 14502, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
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  9. Sarah Brown & Lisa Farrell & Mark N. Harris & John G. Sessions, 2002. "Risk Preference And Employment Contract Type," Department of Economics - Working Papers Series 845, The University of Melbourne. [Downloadable!]
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  10. William E. Encinosa III & Martin Gaynor & James B. Rebitzer, 2005. "The Sociology of Groups and the Economics of Incentives: Theory and Evidence on Compensation Systems," IZA Discussion Papers 1851, Institute for the Study of Labor (IZA). [Downloadable!]
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  11. Tushar Kanti Nandi, 2006. "Parametric and Semiparametric Estimation of the Adoption of Work Teams," Department of Economics University of Siena 484, Department of Economics, University of Siena. [Downloadable!]
  12. Martin Gaynor & Deborah Haas-Wilson, 1998. "Change, Consolidation, and Competition in Health Care Markets," NBER Working Papers 6701, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
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  13. Mary A. Burke & Kislaya Prasad, 2005. "Contracts with social multipliers," Working Papers 05-17, Federal Reserve Bank of Boston. [Downloadable!]
  14. Olmos, Marta Fernandez & Rosell-Martinez, Jorge & Espitia-Escuer, Manuel Antonio, 2008. "The yield/quality trade-off and contractual choice," 2008 Annual Meeting, July 27-29, 2008, Orlando, Florida 6065, American Agricultural Economics Association (New Name 2008: Agricultural and Applied Economics Association). [Downloadable!]
  15. Alan Morrison & William J. Wilhelm, Jr., 2003. "Partnership Firms, Reputation and Human Capital," OFRC Working Papers Series 2003fe02, Oxford Financial Research Centre. [Downloadable!]
  16. Lent, L. van, 1996. "The economics of an audit firm : The case of KPMG in the Netherlands," Research Memorandum 730, Tilburg University, Faculty of Economics and Business Administration. [Downloadable!]
  17. Mari Paz Espinosa & Inés Macho-Stadler, 2003. "Endogenous Formation of Competing Partnership with Moral Hazard," DFAEII Working Papers 200234, University of the Basque Country - Department of Foundations of Economic Analysis II. [Downloadable!]
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  18. Sarah Brown & Karl Talyor, 2002. "Wage Growth, Human Capital and Risk Preference: Evidence From The British Household Panel Survey," Discussion Papers in Economics 02/14, Department of Economics, University of Leicester. [Downloadable!]
  19. Robert Gibbons, 1997. "Incentives and Careers in Organizations," NBER Working Papers 5705, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
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