Sending emails to reduce medical costs? The effect of feedback on general practitioners’ claiming of fees

HERO WP 2022/1: Ole Kristian Aars, Geir Godager, Oddvar Kaarbøe, Tron Anders Moger

Abstract

Audit and feedback is used as a strategy to guide practices of health care professionals towards certain targets. The outcome of interest can be quality improvements, but also ensuring that health care workers adhere to relevant regulations. We conducted a nationwide field experiment in the Norwegian primary care sector to study the behavioral responses from giving general practitioners feedback (GPs) on their claiming of fees. The email-based feedback intervention targeted GPs who most frequently claimed fees for double consultations and provided them with a reminder of the formal regulations for double consultations. The intervention caused a 2-5 percentage point reduction in the use of the double-consultation fee, reducing the yearly health care spending of the Norwegian government by approximately €877 000 (or €1 270 per GP).

JEL-Classification: C93, H40, I11, J33, L15

Keywords: Physician payment system; Field experiment; Performance disclosure; Fee-for service; Information and product quality

ISBN: 978-82-7756-272-8

Last ned rapport

Publisert 26. mai 2022 17:24 - Sist endret 2. juni 2022 18:34