Physician responses to insurance benefit restrictions: The case of ophthalmology

B-Tier
Journal: Health Economics
Year: 2024
Volume: 33
Issue: 5
Pages: 911-928

Authors (6)

Olukorede Abiona (not in RePEc) Phil Haywood (University of Sydney) Serena Yu (not in RePEc) Jane Hall (University of Technology Sydne...) Denzil G. Fiebig (UNSW Sydney) Kees van Gool (not in RePEc)

Score contribution per author:

0.335 = (α=2.01 / 6 authors) × 1.0x B-tier

α: calibrated so average coauthorship-adjusted count equals average raw count

Abstract

This study examines the impact of social insurance benefit restrictions on physician behaviour, using ophthalmologists as a case study. We examine whether ophthalmologists use their market power to alter their fees and rebates across services to compensate for potential policy‐induced income losses. The results show that ophthalmologists substantially reduced their fees and rebates for services directly targeted by the benefit restriction compared to other medical specialists' fees and rebates. There is also some evidence that they increased their fees for services that were not targeted. High‐fee charging ophthalmologists exhibited larger fee and rebate responses while the low‐fee charging group raise their rebates to match the reference price provided by the policy environment.

Technical Details

RePEc Handle
repec:wly:hlthec:v:33:y:2024:i:5:p:911-928
Journal Field
Health
Author Count
6
Added to Database
2026-01-25