Network Incentives in Managed Health Care
AbstractThis paper introduces a theory of network incentives in managed health care. Participation in the plan's "network" confers an economic benefit on providers; in example, the plan expects compliance with its protocols. The network sets a target for the number of outpatient visits in an episode of care. A provider failing to satisfy the target may be penalized by the paln's attempt to direct patients to other providers within its network. There is an equilibrium in which every provider in the networlk uses the target.
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Bibliographic InfoPaper provided by Boston University - Industry Studies Programme in its series Papers with number 0094.
Date of creation: Oct 1998
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Postal: Boston University, Industry Studies Program; Department of Economics, 270 Bay Road, Boston, Massachusetts 02215.
Web page: http://www.bu.edu/econ/isp/
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- Tor Iversen & Ching-to Albert Ma, .
"Market Conditions and General Practitioners' Referrals,"
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wp2009-009, Boston University - Department of Economics.
- Tor Iversen & Ching-to Ma, 2011. "Market conditions and general practitioners’ referrals," International Journal of Health Care Finance and Economics, Springer, vol. 11(4), pages 245-265, December.
- Iversen, Tor & Ma, Albert, 2009. "Market Conditions and General Practitioners’ Referrals," HERO On line Working Paper Series 2009:8, Oslo University, Health Economics Research Programme.
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