What do physicians dislike about managed care? Evidence from a choice experiment
Maurus Rischatsch1, Peter Zweifel
1Department of Economics, University of Zurich, Switzerland. maurus.rischatsch@econ.uzh.ch
Summary
Physicians require significant financial incentives to voluntarily join managed care (MC) plans. Most MC features have associated costs, except for shared decision-making and quality circles.
Area of Science:
- Health Economics
- Medical Policy
- Physician Behavior
Background:
- Managed care (MC) offers potential cost savings and quality improvements in healthcare.
- Physician participation in MC is crucial for its success but can be influenced by financial considerations.
Purpose of the Study:
- To determine private-practice physicians' willingness to accept (WTA) compensation for various managed care features.
- To identify which MC attributes require financial incentives for physician adoption.
Main Methods:
- A discrete choice experiment was conducted with 1,088 Swiss ambulatory care physicians in 2011.
- Willingness to accept (WTA) values were estimated for different managed care attributes.
Main Results:
- Most managed care attributes had non-zero WTA values, indicating a required financial incentive.
- Shared decision-making and up to six quality circle meetings annually were exceptions, showing no associated WTA.
Conclusions:
- Health insurers need to offer substantial financial savings to incentivize voluntary physician participation in managed care.
- Targeted incentives may be necessary for specific managed care components to ensure physician buy-in.
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