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Title: The Impact of Managed Care on the Gender Earnings Gap Among Physicians

Citation Type: Working Paper

Publication Year: 2000

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Abstract: This dissertation is an evaluation of the relationship between managed care and physicians' income. The 1991 and 1997 Survey of Young Physicians sponsored by the Robert Wood Johnson Foundation was used in this empirical study of the effects of managed care on physicians. Results from the tobit analysis of the population measure of the managed care penetration rate show that the penetration rate is positively impacted by the number of large firms in an area. Increases in the number of hospitals and the average hospital size results in increases in the managed care penetration rate. The larger is the metropolitan area and the more educated the population is, the greater is the percent of the population in managed care plans. AWP laws have a negative impact on the managed care penetration rate, as does the percent of the white collar workforce. ^ The 1990 and 1996 cross-section models as well as the change in wage models indicate that many factors, including managed care, impact physicians' wages. The results show that the wage gap has decreased between primary care physicians and specialists. Results also indicate that the gender wage gap between male physicians and their female counterparts has decreased for only the specialist physicians. ^ The results of the hours worked models indicate that male physicians continue to work more hours per week than their female counterparts, contributing to the gender annual wage gap. The models also indicate that all specialists work more hours per week than primary care physicians. The fewer hours worked per week coupled with the lower hourly wage rate results in lower annual income for primary care physicians. However, the number of hours worked by specialists relative to the number of hours worked by primary care physicians has decreased for both hospital-based and surgical specialists. This may help explain the narrowing of the wage gap between the primary care physicians and some of the specialists.

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Authors: Sasser, Alicia

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Institution: Harvard University

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Publisher Location: Cambridge, MA

Data Collections: IPUMS USA

Topics: Labor Force and Occupational Structure

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