In plans that require the primary care physician (PCP) to play a gatekeeper role, the PCP is given incentives to:

Question

Quizplus · Accepted Answer

In plans that require the PCP to act as a gatekeeper, the incentives are designed to encourage the PCP to treat the patient as much as possible without a specialist referral unless absolutely necessary. This helps to control costs and ensures that the patient receives the most appropriate level of care. Options A and C may increase patient volume but do not necessarily lead to better patient outcomes or cost control. Option B may lead to unnecessary referrals and higher costs.

In Plans That Require the Primary Care Physician (PCP) to Play