7.Question 7Which of the following is MOST likely to incentivize health care providers to over-utilize medical care?1 pointFee for service payment systemPaying physicians a salaryUsing “supply-side” tools such as gatekeepersCapitation payment systemIncreasing the number of expensive but not readily accessible diagnostic tools and services
Question
7.Question 7Which of the following is MOST likely to incentivize health care providers to over-utilize medical care?1 pointFee for service payment systemPaying physicians a salaryUsing “supply-side” tools such as gatekeepersCapitation payment systemIncreasing the number of expensive but not readily accessible diagnostic tools and services
Solution
The payment system that is MOST likely to incentivize health care providers to over-utilize medical care is the "Fee for service payment system".
Here's why:
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Fee for service payment system: In this system, healthcare providers are paid for each service they provide such as tests, procedures, and treatments. This could incentivize them to provide more services than necessary to increase their payment.
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Paying physicians a salary: This method of payment does not incentivize over-utilization of medical care because the physician's salary is not dependent on the number of tests or treatments they provide.
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Using “supply-side” tools such as gatekeepers: This method also does not incentivize over-utilization. Gatekeepers, such as primary care physicians, control access to more expensive procedures or specialists, which can help prevent unnecessary medical care.
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Capitation payment system: In this system, providers receive a set amount for each enrolled person assigned to them, per period of time, whether or not that person seeks care. This could actually incentivize under-utilization because providers might try to avoid costly procedures or treatments.
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Increasing the number of expensive but not readily accessible diagnostic tools and services: This could potentially lead to over-utilization, but it's not a direct payment method to providers, so it's less likely than the fee-for-service system.
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