[ 46] This method also automatically accounts for any "spillover" effect of managed care practices onto fee-for service practice, wherein cost-saving techniques are applied widely by providers, even to those with fee-for-service insurance, in a market with high penetration of managed care insurance.
Various factors explain this level of attrition, among them the lack of commitment with training, the cost of fees and the price of equipment for practicing.
We found that primary care practices reimbursed via blended capitation were more likely to use the diabetes incentive code than fee-for-service practices.
Another recent study examining gender equity in primary care practices by remuneration structure found that women attending fee-for-service practices were significantly less likely to have received recommended care for chronic diseases, a difference not observed in capitation-based practices [ 7].
Three case studies where NPs were embedded into rural fee-for-service practices were undertaken to determine the outcomes at the practitioner, practice, community, and health services levels.
Fee-for-service practices such as mine are another; I do not participate in H.M.O. and P.P.O.
Blended capitation practices had a significantly higher percentage of patients who had their waistlines monitored than in fee-for-service practices (19% vs. 5%, AOR = 3.7 [1.8-7.8], p = 0.0006), and who were recommended a smoking cessation drug when compared to community health centres (33% vs. 16%, AOR = 2.4 [1.3-4.6] [1.3-4.6]7).
He also urged studies to determine how much managed care and traditional fee-for-service practices influenced the timing of chemotherapy.
But doctors work predominantly in private, office-based, fee-for-service practices, and there is a mix of public and private hospitals.
But, said Uwe Reinhardt, a health economist at Princeton University, doctors with fee-for-service practices may find themselves under a new sort of competitive pressure.
