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市场势力与合同形式:来自医生集团执业的证据

Market power and contract form: evidence from physician group practices.

作者信息

Town Robert, Feldman Roger, Kralewski John

机构信息

Division of Health Policy and Management, School of Public Health, University of Minnesota, 420 Delaware St., S.E., Mayo Mail Code 729, Minneapolis, MN 55455, USA.

出版信息

Int J Health Care Finance Econ. 2011 Jun;11(2):115-32. doi: 10.1007/s10754-011-9091-9. Epub 2011 May 12.

Abstract

We examine how the market power of physician groups affects the form of their contracts with health insurers. We develop a simple model of physician contracting based on 'behavioral economics' and test it with data from two sources: a survey of physician group practices in Minnesota; and the physician component of the Community Tracking Survey. In both data sets we find that increases in groups' market power are associated with proportionately more fee-for-service revenue and less revenue from capitation.

摘要

我们研究了医师团体的市场势力如何影响其与健康保险公司签订的合同形式。我们基于“行为经济学”构建了一个简单的医师签约模型,并使用来自两个来源的数据对其进行了检验:对明尼苏达州医师团体执业情况的一项调查;以及社区追踪调查中的医师部分。在这两个数据集中,我们发现团体市场势力的增强与按比例更多的按服务收费收入以及更少的人头费收入相关。

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