| Author: | Fournier, G. M. Morgan McInnes, M. |
| Title: | The effects of managed care on medical referrals and the quality of specialty care |
| Journal: | Journal of Industrial Economics
2002 : DEC, VOL. 50:4, p. 457-473 |
| Index terms: | HEALTH SERVICE INSURANCE MEDICAL CARE |
| Language: | eng |
| Abstract: | This paper analyzes the role of referrals in the provision of surgical services. Primary physicians in managed care control patient access to specialists, while referrals in traditional insurance plans are less constrained. The traditional, fee-for-service insurance market is shown to achieve appropriate incentives for high quality care. In contrast, physicians with bad reputations may not lose HMO's referrals, owing to differences in incentives to cut costs. |
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