Physician incentives and disclosure of payment methods to patients

Journal of General Internal Medicine
A C KaoP D Cleary

Abstract

There is increasing public discussion of the value of disclosing how physicians are paid. However, little is known about patients' awareness of and interest in physician payment information or its potential impact on patients' evaluation of their care. Cross-sectional survey Managed care and indemnity plans of a large, national health insurer. Telephone interviews were conducted with 2,086 adult patients in Atlanta, Ga; Baltimore, Md/Washington DC; and Orlando, Fla (response rate, 54%). Patients were interviewed to assess perceptions of their physicians' payment method, preference for disclosure, and perceived effect of different financial incentives on quality of care. Non-managed fee-for-service patients (44%) were more likely to correctly identify how their physicians were paid than those with salaried (32%) or capitated (16%) physicians. Just over half (54%) wanted to be informed about their physicians' payment Patients of capitated and salaried physicians were as likely to want disclosure as patients of fee-for-service physicians. College graduates were more likely to prefer disclosure than other patients. Many patients (76%) thought a bonus paid for ordering fewer than the average number of tests would adversely affect th...Continue Reading

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May 13, 2011·International Journal of Health Care Finance and Economics·Robert TownJohn Kralewski
Apr 25, 2001·Journal of General Internal Medicine·J D GoodsonH P Selker
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