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Team Formation and Performance: Evidence from Healthcare Referral Networks / Leila Agha, Keith Marzilli Ericson, Kimberley H. Geissler, James B. Rebitzer.

By: Contributor(s): Material type: TextTextSeries: Working Paper Series (National Bureau of Economic Research) ; no. w24338.Publication details: Cambridge, Mass. National Bureau of Economic Research 2018.Description: 1 online resource: illustrations (black and white)Subject(s): Online resources: Available additional physical forms:
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Abstract: How does team-specific capital affect productivity? We examine the teams that primary care physicians (PCPs) assemble when referring patients to specialists. Our theoretical model finds that team-specific capital is greater when PCPs concentrate their referrals within a smaller set of specialists. Empirically, we find patients of PCPs with concentrated referrals have lower healthcare costs, with no discernable reduction in quality. This effect exists for commercially insured and Medicare populations; is statistically and economically significant; and holds under identification strategies that account for unobserved patient and physician characteristics.
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February 2018.

How does team-specific capital affect productivity? We examine the teams that primary care physicians (PCPs) assemble when referring patients to specialists. Our theoretical model finds that team-specific capital is greater when PCPs concentrate their referrals within a smaller set of specialists. Empirically, we find patients of PCPs with concentrated referrals have lower healthcare costs, with no discernable reduction in quality. This effect exists for commercially insured and Medicare populations; is statistically and economically significant; and holds under identification strategies that account for unobserved patient and physician characteristics.

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