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Master of Public Health

The influence of provider characteristics and market forces on response to financial incentives.

AUTHORS

O'Neil B , Tyson M , Graves AJ , Barocas DA , Chang SS , Penson DF , Resnick MJ , . The American journal of managed care. 2017 11 1; 23(11). 662-667

ABSTRACT

Alternative payment models, such as accountable care organizations, use financial incentives as levers for change to facilitate the transition from volume to value. However, implementation raises concerns about adverse changes in market competition and the resultant physician response. We sought to identify physician characteristics and market-level factors associated with variation in response to financial incentives for cancer care that may ultimately be leveraged in risk-shared payment models.

Alternative payment models, such as accountable care organizations, use financial incentives as levers for change to facilitate the transition from volume to value. However, implementation raises concerns about adverse changes in market competition and the resultant physician response. We sought to identify physician characteristics and market-level factors associated with variation in response to financial incentives for cancer care that may ultimately be leveraged in risk-shared payment models.

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