Promoting Home Dialysis for ESRD Patients: A Comparative Study of Incentive Models
In this month’s edition of the NOVA SBE HEALTH ECONOMICS & MANAGEMENT SEMINAR SERIES, Salar Ghamat, Associate Professor of Operations and Decision Sciences at Lazaridis School of Business and Economics, Wilfrid Laurier University, presents his research on promoting home dialysis for end-stage renal disease (ESRD) patients through a comparative study of incentive models.
ABSTRACT:
Healthcare payers are actively seeking methods to improve the quality of life for patients with end-stage renal disease (ESRD) and decrease treatment expenditures by increasing the rate of home dialysis. In this paper, we develop a game-theoretical model to study two incentive models, namely target-based and competitive, offered by a payer to encourage two heterogeneous providers’ efforts in increasing home dialysis utilization for ESRD patients. We show that the payer can achieve the first-best home dialysis rates with both incentive models by carefully choosing the performance benchmarks. Our paper is the first in the incentive payment literature to model and investigate compound incentive mechanisms, including improvement and achievement benchmarks. These benchmarks encourage diverse providers to work towards achieving the award regardless of their different characteristics. Additionally, we are the first to propose a competitive incentive mechanism between healthcare providers in the healthcare operations literature. Finally, we present a numerical analysis that feeds insights into the existing practical measures of these incentive models for the payer.
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ABOUT SALAR GHAMAT:
Salar Ghamat is an associate professor of Operations and Decision Sciences at Lazaridis School of Business and Economics, Wilfrid Laurier University. Salar received his PhD in Management Science from Ivey Business School (Wes tern University) in 2017, MSc in Operations Research and Management Science from Tilburg University, and MBA from Bilkent University. His areas of research include strategic supply chain management, and healthcare operations management. He has published papers in Production and Operations Management (POM), European Journal of Operational Research (EJOR), Omega, Decision Sciences (DS), and International Journal of Production Economics (IJPE).
Linkedin: https://www.linkedin.com/in/salar-ghamat-a5322141