Transmission of financial incentives to physicians by intermediary organizations in California

Health Affairs

Volumn 21, Issue 4, 2002, Pages 197-205

  Rosenthal, Meredith B ^a   Frank, Richard G ^b   Buchanan, Joan L ^b   Epstein, Arnold M ^a  

^a HARVARD SCHOOL OF PUBLIC HEALTH   (United States)

^b HARVARD MEDICAL SCHOOL   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; CAPITATION FEE; ECONOMICS; EPIDEMIOLOGY; FINANCIAL MANAGEMENT; GROUP PRACTICE; HEALTH CARE DELIVERY; HEALTH INSURANCE; HUMAN; ORGANIZATION AND MANAGEMENT; PERSONNEL MANAGEMENT; PRIMARY HEALTH CARE; STATISTICS; UNITED STATES;

CALIFORNIA; CAPITATION FEE; CONTRACT SERVICES; GROUP PRACTICE; HEALTH CARE SURVEYS; HUMANS; INDEPENDENT PRACTICE ASSOCIATIONS; MANAGED CARE PROGRAMS; PHYSICIAN INCENTIVE PLANS; PRIMARY HEALTH CARE; PROVIDER-SPONSORED ORGANIZATIONS;

EID: 0036635466     PISSN: 02782715     EISSN: None     Source Type: Journal    
DOI: 10.1377/hlthaff.21.4.197     Document Type: Article

References (12)

1. S.D. Gould, "Relationships between Patients, Physicians, and Health Plans," Journal of Health Politics, Policy and Law 23, no. 4 (1999): 687-695.
2. T. Lake et al., Health Plans' Selection and Payment of Health Care Providers (Washington: Mathematica Policy Research, May 2000).
3. S.D. Pearson, J.E. Sabin, and E.J. Emanuel, "Ethical Guidelines for Physician Compensation Based on Capitation," New England Journal of Medicine 339, no. 10 (1998): 689-693.
4. D.K. Remler et al., "What Do Managed Care Plans Do to Affect Care? Results from a Survey of Physicians," Inquiry 34, no. 3 (1997): 196-204.
5. See, for example, A.L Hillman, M.V. Pauly, and J.J. Kerstein, "How Do Financial Incentives Affect Physicians' Clinical Decisions and the Financial Performance of Health Maintenance Organizations?" New England Journal of Medicine 321, no. 2 (1989): 86-92; M.R. Gold et al., "A National Survey of the Arrangements Managed-Care Plans Make with Physicians," New England Journal of Medicine 333, no. 25 (1995): 1678-1683; and K. Grumbach et al., "Primary Care Physicians' Experience of Financial Incentives in Managed-Care Systems," New England Journal of Medicine 339, no. 21 (1998): 1516-1521.
6. See, for example, A.L Hillman, M.V. Pauly, and J.J. Kerstein, "How Do Financial Incentives Affect Physicians' Clinical Decisions and the Financial Performance of Health Maintenance Organizations?" New England Journal of Medicine 321, no. 2 (1989): 86-92; M.R. Gold et al., "A National Survey of the Arrangements Managed-Care Plans Make with Physicians," New England Journal of Medicine 333, no. 25 (1995): 1678-1683; and K. Grumbach et al., "Primary Care Physicians' Experience of Financial Incentives in Managed-Care Systems," New England Journal of Medicine 339, no. 21 (1998): 1516-1521.
7. See, for example, A.L Hillman, M.V. Pauly, and J.J. Kerstein, "How Do Financial Incentives Affect Physicians' Clinical Decisions and the Financial Performance of Health Maintenance Organizations?" New England Journal of Medicine 321, no. 2 (1989): 86-92; M.R. Gold et al., "A National Survey of the Arrangements Managed-Care Plans Make with Physicians," New England Journal of Medicine 333, no. 25 (1995): 1678-1683; and K. Grumbach et al., "Primary Care Physicians' Experience of Financial Incentives in Managed-Care Systems," New England Journal of Medicine 339, no. 21 (1998): 1516-1521.
8. "Requirements for Physician Incentives Plan in Prepaid Health Care Organizations," Federal Register 61, no. 252 (1996): 13430-13432.
9. Pearson et al., "Ethical Guidelines."
10. M.B. Rosenthal, B.E. Landon, and H.A. Huskamp, "Managed Care and Market Power: Physician Organizations in Four Markets," Health Affairs (Sep/Oct 2001): 187-193.
11. California Medical Association, "CMA List of Medical Group/IPA Bankruptcies, Closures, or Impending Insolvency" (San Francisco: CMA, March 2001).
12. Department of Managed Health Care, S.B. 260 Risk-Bcaring Organizations, First Quarter of 2001 Financial Reporting Results (Sacramento: Department of Managed Health Care, October 2001).