Risk selection and cost shifting in a prospective physician payment system: Evidence from Ontario

Abstract We study the risk-selection and cost-shifting behavior of physicians in a unique capitation payment model in Ontario, using the incentive to enroll and care for complex and vulnerable patients as a case study. This incentive, which is incremental to the regular capitation payment, ceases af...

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Bibliographic details
Volume:	115
Main Author:	Kantarevic, Jasmin Kralj, Boris
Format:	Journal Article
Language:	English
Zielgruppe:	Academic
Place of publication:	CLARE Elsevier Ireland Ltd 2013 ELSEVIER IRELAND LTD Elsevier Elsevier B.V
published in:	Health policy (Amsterdam) Vol. 115; no. 2; pp. 249 - 257
Data of publication:	2013
ISSN:	0168-8510 1872-6054
EISSN:	1872-6054
Discipline:	Public Health
Subjects:	Internal Medicine Cream skimming Risk selection Physician remuneration Primary care Capitation Health Care Sciences & Services Health Policy & Services Life Sciences & Biomedicine Science & Technology Public health. Hygiene-occupational medicine Public health. Hygiene Biological and medical sciences Miscellaneous Health participants Medical sciences Risk Assessment Health Expenditures - statistics & numerical data Humans Middle Aged Prospective Payment System - organization & administration Prospective Payment System - economics Male Models, Economic Physicians - economics Cost Allocation - methods Cost Allocation - economics Ontario - epidemiology Physicians - organization & administration Female Capitation Fee - organization & administration Health administration Canada North America Ontario America I18 Cream skimming I10 Risk selection I12 Physician remuneration Primary care Capitation QUALITY ECONOMICS HEALTH-SERVICES Costs Health staff Primary health care Selection Cream Physician Risk Remuneration Prospective Payment Health economy Risk factor Economic aspect Public health
Online Access:	available in Bonn?
Database:	Social Sciences Citation Index Web of Science - Social Sciences Citation Index - 2014 Web of Science - Science Citation Index Expanded - 2014 Web of Knowledge Science Citation Index Expanded Web of Science Pascal-Francis MEDLINE (Ovid) PubMed MEDLINE MEDLINE MEDLINE Medline CrossRef Academic OneFile (A&I only) MEDLINE - Academic Database information Databases - DBIS