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Optimal contracting with altruistic agents : a structural model of Medicare payments for dialysis drugs
Gaynor, Martin; Mehta, Nirav; Richards-Shubik, Seth - 2020
We study physician agency and optimal payment policy in the context of an expensive medication used in dialysis care. Using Medicare claims data we estimate a structural model of treatment decisions, in which physicians differ in their altruism and marginal costs, and this heterogeneity is...
Persistent link: https://www.econbiz.de/10012216358
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Healer or gatekeeper? : physicians' role conflict when symptoms are non-verifiable
Carlsen, Benedicte; Nyborg, Karine - 2017
Although physicians are often expected to be gatekeepers to health insurance benefits such as paid sick leave, research indicates a substantial reluctance to reject patient requests for sickness certificates. We show that private information on the patient's part creates a conflict between the...
Persistent link: https://www.econbiz.de/10011647475
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Evidence of upcoding in pay-for-performance programs
Bastani, Hamsa; Goh, Joel; Bayati, Mohsen - 2015
Recent Medicare legislation seeks to improve patient care quality by financially penalizing providers for hospital-acquired infections (HAIs). However, Medicare cannot directly monitor HAI rates, and instead relies on providers accurately self-reporting HAIs in claims to correctly assess...
Persistent link: https://www.econbiz.de/10011862259
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The gate is open: Primary care physicians as social security gatekeepers
Carlsen, Benedicte; Nyborg, Karine - 2009
Primary care physicians have two roles: the healer and the gatekeeper. We show that, due to information asymmetries, they cannot be expected to fulfill the latter role. Better gatekeepers will be poorer healers; hence all patients, both truly sick and shirkers, will strictly prefer physicians...
Persistent link: https://www.econbiz.de/10010275653
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Genetic testing and repulsion from chance
Hoel, Michael; Iversen, Tor; Nilssen, Tore; Vislie, Jon - 2003
A central theme in the international debate on genetic testing concerns the extent to which insurance companies should be allowed to use genetic information in their design of insurance contracts. We analyze this issue within a model with the following important feature: A person’s well-being...
Persistent link: https://www.econbiz.de/10010284417
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The gate is open : primary care physicians as social security gatekeepers
Carlsen, Benedicte; Nyborg, Karine - 2009
Primary care physicians have two roles: the healer and the gatekeeper. We show that, due to information asymmetries, they cannot be expected to fulfill the latter role. Better gatekeepers will be poorer healers; hence all patients, both truly sick and shirkers, will strictly prefer physicians...
Persistent link: https://www.econbiz.de/10003823078
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Identification of supplier-induced demand : what kind of consumer information matters?
Schmid, Christian - 2013
visits and the length of stay in hospitals. We find that information has a negative effect on health care utilization …
Persistent link: https://www.econbiz.de/10009711236
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Genetic testing and repulsion from chance
Hoel, Michael; Iversen, Tor; Nilssen, Tore; Vislie, Jon - 2004
A central theme in the international debate on genetic testing concerns the extent to which insurance companies should be allowed to use genetic information in their design of insurance contracts. We analyze this issue within a model with the following important feature: A person s well-being...
Persistent link: https://www.econbiz.de/10011402443
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Genetic Testing and Repulsion from Chance
Hoel, Michael; Iversen, Tor; Nilssen, Tore; Vislie, Jon - 2021
A central theme in the international debate on genetic testing concerns the extent to which insurance companies should be allowed to use genetic information in their design of insurance contracts. We analyze this issue within a model with the following important feature: A person's well-being...
Persistent link: https://www.econbiz.de/10013319297
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Implementing personalized medicine with asymmetric information on prevalence rates
Antoñanzas Villar, Fernando; Juárez-Castelló, Carmelo A. - In: Health economics review 6 (2016) 35, pp. 1-8
the interaction between the hospitals and the manufacturer of a new treatment as an adverse selection problem where the … firm does not have perfect information on the prevalence across hospitals of the genetic characteristics of the patients … making them eligible to receive a new treatment. As a result of the model, hospitals with high prevalence rates benefit from …
Persistent link: https://www.econbiz.de/10011586604