Tiered network health plans and changes in physician practice intensity.

ABSTRACT:

Objective

To examine whether physicians in tiered physician networks where tier assignments are based on "intensity" of care, which is the quantity of resources used per-episode of care, change their intensity after learning detailed information about how their intensity compares to their peers.

Data sources

Administrative data on intensity and quality at the physician-episode level for all physicians included in a tiered physician network offered through the Massachusetts Group Insurance Commission (GIC) in 2010-2015. Data on physicians' share of revenue from GIC patients from the 2012 Massachusetts All-Payer Claims Database.

Study design

For 21,086 physicians in seven specialties, we estimate the impact of the dissemination of detailed intensity performance informat

SUBMITTER: Prager E 

PROVIDER: S-EPMC10771897 | biostudies-literature | 2024 Feb

REPOSITORIES: biostudies-literature