Physician opportunity costs in physician practice cost functions.
Estimation of cost functions for physician firms is problematic because many physicians are self-employed, and the marginal opportunity cost of physician labor is not observed. In this paper, we show how to recover marginal costs and conventional measures of economies of scale from cost functions that condition on the amount of physician labor input. In addition, we introduce the new concepts of marginal nonphysician input costs and 'behavioral' economies of scale, which reflect the structure of costs when physician labor input moves along a utility-maximizing expansion path. Our results could be useful in the design of resource-based physician fee schedules.
Escarce
J J
JJ
RAND Health Sciences Program, Santa Monica, CA 90407, USA. jose_escarce@rand.org
Pauly
M V
MV
D003361:Cost Allocation / Q000379:methods*; D017598:Efficiency, Organizational / Q000191:economics; D005245:Fee Schedules / Q000191:economics; D006801:Humans; D017059:Models, Econometric; D009817:Office Management / Q000191:economics; D009819:Office Visits / Q000191:economics; D010067:Ownership / Q000191:economics; D010561:Personnel Staffing and Scheduling / Q000191:economics; D010820:Physicians / Q000191:economics; D011216:Practice Management, Medical / Q000191:economics*; D012044:Regression Analysis; D014481:United States