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Can price controls induce optimal physician behavior?

G Wedig1, J B Mitchell, J Cromwell

  • 1University of Pennsylvania.

Journal of Health Politics, Policy and Law
|January 1, 1989
PubMed
Summary
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Price controls on physician services can improve welfare for well-insured patients, but physician income-targeting behavior may reduce benefits. Stronger measures may be needed to curb physician fee inflation.

Area of Science:

  • Health Economics
  • Public Policy
  • Healthcare Management

Background:

  • Policymakers are exploring price regulation in physician services to control costs.
  • Previous research (Feldman & Sloan) raised concerns about price controls impacting service quality.
  • The current study examines price controls considering insurance coverage and moral hazard.

Purpose of the Study:

  • To assess the welfare effects of price controls on physician services.
  • To analyze these effects independent of demand inducement and physician income targeting.
  • To evaluate the impact of insurance and moral hazard on price control efficacy.

Main Methods:

  • Extension of the Feldman/Sloan economic model.
  • Analysis incorporating consumer insurance coverage and moral hazard.

Related Experiment Videos

  • Empirical examination of Medicare fee freeze data to assess physician income targeting.
  • Main Results:

    • Price controls are likely welfare-improving for sufficiently insured consumers, irrespective of demand inducement.
    • Physician income-targeting behavior can diminish the positive effects of price controls.
    • Descriptive evidence suggests income targeting's impact may increase over time, despite small cross-sectional findings.

    Conclusions:

    • Price controls offer potential welfare gains in physician services, contingent on adequate insurance.
    • Physician income targeting poses a risk to the effectiveness of price regulations.
    • Achieving significant reductions in physician fee inflation may necessitate policies that link physician compensation to consumer expenditures.