Physicians contracting with managed care, Medicare, and Medicaid.
Managed care has become an ever important form of health care delivery, yet little is known about the characteristics of providers contracting with managed care organizations. Using data from a national survey of 4,729 physicians, we find that market conditions, specialty, and sociodemographics all affect a physician's decision to contract with managed care. Moreover, most of these characteristics also have similar effects on a physician's decisions to participate in Medicare and Medicaid. The latter result implies that physicians view managed care, Medicare, and Medicaid similarly when making contracting decisions, although financial incentives in these insurance programs are different.
Zhang
M
M
Centers for Mental Healthcare Research, University of Arkansas for Medical Sciences, Little Rock 72205, USA.
D000367:Age Factors; D002204:Capitation Fee; D003625:Data Collection; D003657:Decision Making; D018588:Fee-for-Service Plans; D005260:Female; D019538:Health Care Surveys; D006801:Humans; D016013:Likelihood Functions; D008297:Male; D008329:Managed Care Programs / Q000191:economics / Q000706:statistics & numerical data; D008484:Medicaid / Q000191:economics / Q000458:organization & administration*; D006278:Medicare / Q000191:economics / Q000458:organization & administration*; D010820:Physicians / Q000706:statistics & numerical data*; D011365:Professional Practice Location; D012044:Regression Analysis; D014481:United States; D000078329:Workforce