Primary care physicians' experience of financial incentives in managed- care systems

New England Journal of Medicine

Volumn 339, Issue 21, 1998, Pages 1516-1521

  Grumbach, Kevin ^a,b   Osmond, Dennis ^a,b   Vranizan, Karen ^a,c   Jaffe, Deborah ^a   Bindman, Andrew B ^a,b,c  

^a UNIVERSITY OF CALIFORNIA   (United States)

^b UNIVERSITY OF CALIFORNIA   (United States)

^c SAN FRANCISCO GENERAL HOSPITAL   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; CLINICAL PRACTICE; GENERAL PRACTITIONER; HEALTH CARE FINANCING; HUMAN; MANAGED CARE; MOTIVATION; PHYSICIAN INCOME; PRIMARY MEDICAL CARE; PRIORITY JOURNAL;

CALIFORNIA; CLINICAL APPROACH/SOURCE; EMPIRICAL APPROACH; HEALTH CARE AND PUBLIC HEALTH; INCENTIVES; SURVEY;

ATTITUDE OF HEALTH PERSONNEL; FAMILY PRACTICE; GYNECOLOGY; HUMANS; INCOME; INTERNAL MEDICINE; JOB SATISFACTION; LOGISTIC MODELS; MANAGED CARE PROGRAMS; PATIENT SATISFACTION; PEDIATRICS; PHYSICIAN INCENTIVE PLANS; PHYSICIANS; PRIMARY HEALTH CARE; QUALITY OF HEALTH CARE; QUESTIONNAIRES; REFERRAL AND CONSULTATION; REIMBURSEMENT, INCENTIVE; TRUTH DISCLOSURE; UNITED STATES; WITHHOLDING TREATMENT;

EID: 0032548111     PISSN: 00284793     EISSN: None     Source Type: Journal    
DOI: 10.1056/NEJM199811193392106     Document Type: Article

References (12)

1. Kassirer JP. Managed care and the morality of the marketplace. N Engl J Med 1995;333:50-2.
2. Woolhandler S, Himmelstein DU. Extreme risk - the new corporate proposition for physicians. N Engl J Med 1995;333:1706-8.
3. Bodenheimer TS, Grumbach K. Capitation or decapitation: keeping your head in changing times. JAMA 1996;276:1025-31.
4. Gold MR, Hurley R, Lake T, Ensor T, Berenson R. A national survey of the arrangements managed-care plans make with physicians. N Engl J Med 1995;333:1678-83.
5. Remler DK, Donelan K, Blendon RJ, et al. What do managed care plans do to affect care? Results from a survey of physicians. Inquiry 1997; 34:196-204.
6. Grumbach K, Coffman J, Vranizan K, Blick N, O'Neil EH. Independent practice association physician groups in California. Health Aff (Millwood) 1998;17(3):227-37.
7. Hellinger FJ. The impact of financial incentives on physician behavior in managed care plans: a review of the evidence. Med Care Res Rev 1996;53: 294-314.
8. Bindman AB, Grumbach K, Vranizan K, Jaffe D, Osmond D. Selection and exclusion of primary care physicians by managed care organizations. JAMA 1998;279:675-9.
9. Simon CJ, Emmons DW. Physicians earnings at risk: an examination of capitated contracts. Health Aff (Millwood) 1997;16(3):120-6.
10. Hillman AL. Financial incentives for physicians in HMOs: is there a conflict of interest? N Engl J Med 1987;317:1743-8.
11. Hillman AL, Pauly MV, Kerstein JJ. How do financial incentives affect physicians' clinical decisions and the financial performance of health maintenance organizations? N Engl J Med 1989;321:86-92.
12. Conrad DA, Maynard C, Cheadle A, et al. Primary care physician compensation method in medical groups: does it influence the use and cost of health services for enrollees in managed care organizations? JAMA 1998;279:853-8.