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ch06.ppt

Getzen’s Health Economics & Financing, 5th Edition

Copyright © John Wiley & Sons, Inc.

Chapter 6: Physicians

QUESTIONS

How are physicians paid?

Which types of physicians earn the highest incomes?

How much does it cost to practice medicine?

Are malpractice insurance premiums a major cause of higher doctor bills?

Is medical care sold like other goods and services?

QUESTIONS cont.

Who chooses which treatment to use, the patient or the doctor?

Why are licensure restrictions more strongly enforced for some types of medical care than for others?

Is the American Medical Association (AMA) a professional society serving science or a union serving the economic interests of its members? Is it both?

Which is more competitive: the market for health insurance or the market for medical care?

6.1 FINANCING PHYSICIAN SERVICES: REVENUES

  • Copays, Assignment, and Balance Billing
  • Physician Payment in Managed Care Plans
  • Incentives: Why Differences in the Type of Payment Matter
  • A Progression: From Prices to Reimbursement Mechanisms

6.2 PHYSICIAN INCOMES

6.3 PHYSICIAN FINANCING: EXPENSES

  • Physician Practice Expenses

Marginal Productivityinput A Marginal Productivityinput B Marginal Productivityinput Z

--------------------------- = --------------------------- = … = ----------------------------

Priceinput A Priceinput B Priceinput Z

6.3 PHYSICIAN FINANCING: EXPENSES cont.

  • The Labor–Leisure Choice
  • The Doctor’s Workshop and Unpaid Hospital Inputs
  • Malpractice
  • Asymmetric Information
  • Agency: Whose Choices?

6.4 THE MEDICAL TRANSACTION

6.5 UNCERTAINTY

6.6 LICENSURE: QUALITY OR PROFITS?

  • How Does Licensure Increase Physician Profits?
  • Supply and Demand Response in Licensed versus Unlicensed Professions
  • How Does Licensure Improve Quality?
  • A Test of the Quality Hypothesis: Strong versus Weak Licensure

Copyright 2013 John Wiley & Sons, Inc.