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Essay / Research Paper Abstract
16 pages in length. The concept of incentive systems within the health care industry is yet another method by which control cyclically passes from one entity to another in the attempt to influence which provider a insured individual sees. The physician receives an incentive for keeping down costs associated with his or her caseload, which in turn establishes an understanding between provider and practitioner as to just how many additional diagnostic and medical procedures as well as what type of medication patients will be permitted to have. The tactics by which this objective is achieved illustrate the motivational factor of some incentive systems is more effective than others, with financial options an attractive option to many. In short, the advantages of effective incentives in health care are of no benefit to the insured but rather a motivating factor for practitioners to secure economic recompense. Bibliography lists 24 sources.
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15 pages (~225 words per page)
File: LM1_TLCincenthc.rtf
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provider an insured individual sees. The physician receives an incentive for keeping down costs associated with his or her caseload, which in turn establishes an understanding between provider and
practitioner as to just how many additional diagnostic and medical procedures as well as what type of medications patients will be permitted to have. The tactics by which this
objective is achieved illustrate the motivational factor of some incentive systems is more effective than others are, with financial options proving the highest where compliance is concerned (Gieffrida et al,
1997; Kwon, 1996). In short, the advantages of effective incentives in health care are of little benefit to the insured but rather a motivating factor for practitioners to secure
economic recompense. ...The preferred approach for learning how economic incentives affect HMO effectiveness is to take advantage of the many natural experiments found within an individual HMO. This
strategy capitalizes on the diversity within a single HMO; and individual HMO offers different benefit designs, pays different physicians using different payment methods, and uses different UM techniques in different
plans (Rice et al, 1996, pp. S60-S61). II. LITERATURE REVIEW The major players in the United States health services system are not
the sick and injured, but rather the physicians, health service institution administrators, insurance companies, large employers and the government, a fatal combination of controlling entities when it comes to administering
care to those who truly need it but cannot fight the system (Flynn et al, 2002; Mitchell, 2004). To what extent do consumers compromise their quality health care options
in order to bear the burden of an industry that has long proven its economic insufficiency? Can consumers expect to receive better quality care if they participate in one
...