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The influence of year-end bonuses on colorectal cancer screening

Author

Listed:
  • Linda Alley
  • Brian S. Armour
  • Jeff Etchason
  • Carol Friedman
  • M. Melinda Pitts
  • Jennifer Wike

Abstract

The objective of the paper is to estimate the effect of physician bonus eligibility on CRC screening while controlling for patient and primary care physician characteristics. The study is retrospective, using a managed care plan?s claims data on fifty-year-old commercially insured patients in the years 2000 and 2001. The data also include links to enrollment and provider files. Multivariate logistic regression models are used to assess the association between CRC screening receipt and physician bonus eligibility. The results indicate that the probability that a patient received a CRC screening was approximately 3 percentage points higher in the year physicians were eligible for a bonus. There were also significant differences according to the gender of both the patient and physician, income, and race.

Suggested Citation

  • Linda Alley & Brian S. Armour & Jeff Etchason & Carol Friedman & M. Melinda Pitts & Jennifer Wike, 2003. "The influence of year-end bonuses on colorectal cancer screening," FRB Atlanta Working Paper 2003-41, Federal Reserve Bank of Atlanta.
    • Handle: RePEc:fip:fedawp:2003-41
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    References listed on IDEAS

    as
    1. Krieger, N., 1992. "Overcoming the absence of socioeconomic data in medical records: Validation and application of a census-based methodology," American Journal of Public Health, American Public Health Association, vol. 82(5), pages 703-710.
    2. Hillman, A.L. & Ripley, K. & Goldfarb, N. & Nuamah, I. & Weiner, J. & Lusk, E., 1998. "Physician financial incentives and feedback: Failure to increase cancer screening in Medicaid managed care," American Journal of Public Health, American Public Health Association, vol. 88(11), pages 1699-1701.
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    Cited by:

    1. Linda Dynan, 2009. "The Contribution of Economists to Understanding Racial Health Disparities in the US," Atlantic Economic Journal, Springer;International Atlantic Economic Society, vol. 37(3), pages 213-223, September.
    2. Green, Ellen P., 2014. "Payment systems in the healthcare industry: An experimental study of physician incentives," Journal of Economic Behavior & Organization, Elsevier, vol. 106(C), pages 367-378.

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