title: Who joins the network? Physicians' resistance to take budgetary co-responsibility.
abstract: Managed Care (MC) is expected to provide health care at a lower cost than conventional provision. Therefore, Switzerland intends to promote MC by forcing health insurers to write MC contracts and introducing budgetary co-responsibility for ambulatory care physicians. A discrete choice experiment conducted in 2011 including 872 physicians reveals a strong preference heterogeneity with respect to network participation and alternative remuneration schemes. The number of physicians working in networks is unlikely to rise on a voluntary basis, while general practitioners are more likely to join networks than specialists with surgical activities. For physicians considering joining networks, cost savings are predicted to be higher than the estimated willingness-to-accept payments.
authors: Department of Economics, University of Zurich, Switzerland. Electronic address: maurus.rischatsch@econ.uzh.ch.
authors: Maurus
authors: M
authors: Rischatsch
mesh_terms: D002017:Budgets / Q000458:organization & administration*; D017046:Cost Savings / Q000191:economics / Q000379:methods; D018588:Fee-for-Service Plans / Q000191:economics / Q000458:organization & administration; D005260:Female; D058005:General Practitioners / Q000191:economics / Q000458:organization & administration; D006801:Humans; D007348:Insurance, Health / Q000191:economics / Q000458:organization & administration; D008297:Male; D008329:Managed Care Programs / Q000191:economics / Q000458:organization & administration*; D008511:Medicine / Q000458:organization & administration; D008875:Middle Aged; D010820:Physicians / Q000191:economics / Q000458:organization & administration*; D012051:Reimbursement Mechanisms / Q000191:economics / Q000458:organization & administration; D013557:Switzerland
keywords: Discrete choice experiment; Latent-class logit; Managed Care; Physician networks; Physician reimbursement