Selection and Improvement: Physician Responses to Financial Incentives

Working Paper: NBER ID: w10017

Authors: Jason Barro; Nancy Beaulieu

Abstract: In this study we examine the effects of transferring physicians from a compensation system based on salary to a profit-sharing system. Consistent with theory, we find that the change has a large and significant effect on the quantity of services provided. In addition, we find a selection effect, where the least productive doctors leave the company and more productive doctors join.

Keywords: financial incentives; physician compensation; profit sharing

JEL Codes: I1; J3; L3


Causal Claims Network Graph

Edges that are evidenced by causal inference methods are in orange, and the rest are in light blue.


Causal Claims

CauseEffect
least productive doctors exiting (J44)selection effect favoring more productive physicians (I11)
profit-sharing model (G35)physician productivity (I11)
profit-sharing model (G35)revenues per physician (I11)
profit-sharing plan (G35)attracting new productive doctors (J44)
profit-sharing model (G35)increase in net income (G39)

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