Blended payment methods in physician organizations under managed care

JAMA

Volumn 282, Issue 13, 1999, Pages 1258-1263

  Robinson, James C ^a  

^a UNIVERSITY OF CALIFORNIA   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; BUDGET; CAPITATION FEE; HEALTH MAINTENANCE ORGANIZATION; HEALTH SERVICE; MANAGED CARE ORGANIZATION; MEDICAL FEE; PRIMARY MEDICAL CARE; PRIORITY JOURNAL;

EID: 0033530252     PISSN: 00987484     EISSN: None     Source Type: Journal    
DOI: 10.1001/jama.282.13.1258     Document Type: Article

References (31)

1. Shenkin EN. The independent practice association in theory and practice: lessons from experience. JAMA. 1995:273:1937-1942.
2. Grumbach K, Coff man J, Vranizan K, Blick N, O'Neil EH. Independent practice association physician groups in California. Health Aff(Millwood). 1998;17:227-237.
3. Penner MJ. Capitation in California: A Study of Physician Organizations Managing Risk. Chicago, III: Health Administration Press; 1997.
4. Robinson JC. The Corporate Practice of Medicine: Competition and Innovation in Health Care. Berkeley: University of California Press; 1999.
5. Bodenheimer T. The American health care system: physicians and the changing medical marketplace. N Engl J Med. 1999:340:584-588.
6. Kerr EA, Mittman BS, Hays RD, et al. Managed care and capitation in California: how do physicians at financial risk control their own utilization? Ann Intern Med. 1995:123:500-504.
7. Pratt JW, Zeckhauser RJ. Principals and Agents: The Structure of Business. Boston, Mass: Harvard Business School Press; 1985.
8. Sappington DEM. Incentives in principal-agent relationships. J Econ Perspect. 1991:5:45-66.
9. Baker CP, Jensen MC, Murphy KJ. Compensation and incentives: practice vs theory. J Finance. 1988; 43:593-616.
10. Prendergast C. The provision of incentives in firms. J Econ Literature. 1999;37:7-63.
11. Hsiao WC, Braun P, Yntema D, Becker ER. Esti-mating physicians' work for a resource-based relativevalue scale. W Engl 1 Med. 1988:319:835-841.
12. Wennberg JE. The Dartmouth Atlas of Health Care in the United States. Chicago, III: American Hospital Association; 1996.
13. Winslow CM. Kosecoff JB. Chassin MR. et al. The appropriateness of performing coronary artery bypass surgery. JAMA. 1988:260:505-509.
14. Fisher ES, Welch HC. Avoiding the unintended consequences of growth in medical care: how might more be worse? JAMA. 1999:281:446-453.
15. Laff ont JJ, Tirole J. Using cost regulation to regulate firms. J Polit Econ. 1986;94:614-641.
16. Schleifer A. A theory of yardstick competition. Rand J Econ. 1985:16:319-327.
17. Luft HS, Miller RH. Patient selection in a competitive health care system. Health Aff (Millwood). 1988:7:97-119.
18. Newhouse JP. Patients at risk: health reform and risk adjustment. Health Aff (Millwood). 1994;13:132-146.
19. Ciacomini M, Luft HS, Robinson JC. Risk adjusting community rated health plan premiums: a survey of risk assessment literature and policy applications. Annu Rev Public Health. 1995;16:401 -430.
20. Newhouse JP. Reimbursing health plans and health providers: efficiency in production versus selection. JEcon Literature. 1996:34:1236-1263.
21. Casalino LP. Balancing incentives: how should physicians be reimbursed? JAMA. 1992;267:403-405.
22. Ellis RP, McCuire TG. Supply-side and demandside cost sharing in health care. J Econ Persped. 1993; 7:135-151.
23. Alchian AA, Demsetz H. Production, information costs, and economic organization. Am Econ Rev. 1972:62:777-795.
24. Williamson OE. The Economic Institutions of Capitalism. New York. NY: Free Press; 1985.
25. Holmstrom BG, Tirole J. The theory of the firm. In: Schmalensee R, Willig RD, eds. Handbook of Industrial Organization. Amsterdam, the Netherlands: Elsevier Science Publishers; 1989:61-133.
26. Reinhardt UE. The economist's model of physician behavior. JAMA. 1999:281:462-465.
27. Yin RK. Case Study Research: Design and Methods. 2nd ed. Thousand Oaks, Calif: Sage Publications; 1994.
28. Managed Care Digest Series, 1998: HMO-PPO/ Medicare/'Medicaid Digest. Kansas City, Mo: Hoechst Marion Roussel; 1998.
29. Thompson JW, Bost J, Ahmed F, Ingalls CE, Sennett C. The NCQA'S quality compass: evaluating managed care in the United States. Health Aff (Millwood). 1998;17:152-158.
30. The Governance Committee. To the Greater Good: Recovering the American Physician Enterprise. Washington, DC: The Advisory Board Company; 1995.
31. Alchian AA. Uncertainty, evolution, and economic theory. J Polit Econ. 1950;58:211-221.