Unbiased Analysis of Today's Healthcare Issues

Physicians moving to larger groups

This is the finding of Muhlestein and Smith (2016): The proportion of physicians in groups of nine or fewer dropped from 40.1 percent in 2013 to 35.3 percent in 2015, while the proportion of those in groups of one hundred or more increased from 29.6 percent to 35.1 percent during the same time period. Initiatives requiring […]

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Physician Organization and Quality of Care

Previous studies have found that paitents of staff/group model HMOs consistently report lower quality of care than patients of Network HMOs.  The finding of Rodriguez et al. (2009) contradicts these assumptions.  They find the following: Physicians belonging to integrated medical groups had better performance on the communication and care coordination measures. Physicians belonging to medical […]

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Physician Compensation and Productive Efficiency

How do financial arrangement between physicians within a medical group affect efficiency levels?  This is the question Gaynor and Pauly (JPE 1990) attempt to answer. Theory  The authors assume that the quantity of medical services is produced by the following production function: qi = f(hi, ti, ki, ei, θi) h: physician hours, t: non-physician hours, […]

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