In this paper we use a panel of administrative data to determine the factors associated with primary care physician self-selection into different payment models in Ontario, Canada. We find that primary care physicians will self-select into payment models based on existing practice and individual characteristics. These patterns of self-selection largely follow a utility maximizing model of physi...

As a newly emerging electronic payment instrument, Internet third party payment is becoming increasingly popular and influential in China and has attracted regulatory attention from the Chinese central bank-People's Bank of China. Aiming at broad international readership and policy makers, this article introduces working mechanisms of the Internet third party payment; discusses the crucial fort...

Screening in primary care is widely recommended (e.g. U.S. Preventive Services Task Force and UK National Institute for Health and Care Excellence), and is increasingly targeted for improvement. As health care payers try to influence the implementation and delivery of alcohol screening and brief intervention (SBI), some are using provider payment approaches. These include specific reimbursement...

Introduction In an effort to moderate the unsustainable rate of increase in health care costs and improve the quality of patient care and health outcomes, Blue Cross Blue Shield of Massachusetts (BCBSMA) introduced in 2009 a new provider payment model called the Alternative Quality Contract (AQC). Hospitals and physicians who enter into the AQC agree to take responsibility for the full continuu...

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BACKGROUND The United States (US) is reforming primary care delivery systems, including the implementation of 'patient-centered medical homes.' Alignment of provider incentives with desired outcomes will likely be important to the success of these delivery system reforms. METHODS This critical review uses a theoretical framework from game-theory models to discuss some of the dominant primary ...

Trends in malpractice awards and adverse actions (e.g., revocation of provider license) following an act or omission constituting medical error or negligence were examined. The National Practitioner Data Bank was used to compare rates of malpractice reports and adverse actions for physicians, physician assistants (PAs), and nurse practitioners (NPs). During 2005 through 2014, there ranged from ...

Despite the potential of micro-payment systems very few systems have been successful. Micro-payment markets exhibit twosided network externalities and the business models for these markets are not very well understood. By using a parsimonious game theoretic model, this paper studies factors affecting the existence of a market for micro-payment systems, how the users and merchants choose their a...