Question
Suppose that you are a primary care physician (PCP) caring for a young woman with a new onset of severe headaches and amenorrhea and a
Suppose that you are a primary care physician (PCP) caring for a young woman with a new onset of severe headaches and amenorrhea and a normal physical examination. Describe provider incentives and disincentives to order or not to order a magnetic resonance imaging (MRI) scan in a case in which the need for the MRI was equivocal? 1.1 under traditional fee-for-service practice 1.2 under fee-for-service practice with utilization review 1.3 under an independent practice association (IPA)-model health maintenance organization (HMO) in which you receive a capitation payment 1.4 In case that this woman had the MRI scan and the PCP found that she needs a hysterectomy.What are the financial incentives and disincentives that would lead this physician to request additional postoperative procedures, if the payment is by episode?
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