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Public Economics Lectures Part 1: Introduction

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Ellis and McGuire: Compensation Schemes<br />

General trend has been toward higher α, lower β<br />

Private market has shifted from FFS to HMO capitation schemes<br />

Medicare/Medicaid shifted in ‘80s to a prospective payment scheme<br />

Tradeoff: lower β provides incentives for doctors to provide less<br />

services. But they may provide too little!<br />

Lower costs, but complaints of lower quality of care<br />

<strong>Public</strong> <strong>Economics</strong> <strong>Lectures</strong> () <strong>Part</strong> 6: Social Insurance 197 / 207

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