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Physician Agency Introduction • Asymmetric Information – Prinicpals (Patients) – Agents (Physicians) • Perfect versus imperfect agency. – If you could know everything the doctor knows, what would you do? Market For Physician Services • Monopolistic Competition Market For Physician Services • Price Discrimination versus Cost Shifting • http://www.thehealthcareblog.com/the_healt h_care_blog/2009/08/the-health-care-costshifting-myth.html Market For Physician Services • Physician Altruism Physicians as Quantity Setters Physician Induced Demand (SID) • evidence Physician Behavior in Age of Managed Care • Reimbursement Methods – Capitation based pay – Salary and – Revenue sharing Medical Malpractice • Defensive Medicine Trends in Premiums for Physicians' Medical Malpractice Insurance, by Type of Physician, 1993 to 2002