Table 1: Characteristics of physicians involved in the survey, by payment program (n = 182)
CharacteristicNo. of physicians reimbursed by FFS*
(n = 94)
No. of physicians reimbursed by blended*
(n = 37)
No. of physicians reimbursed by APP*
(n = 51)
p value
Proportion of surveyed physicians51.6%20.3%28.0%
Physician specialty
Surgery36 (38.2)10 (27.0)6 (11.8)
Internal medicine21 (22.3)9 (24.3)34 (66.7)
Neurology/neurosurgery2 (5.4)1 (2.0)
Pediatrics7 (7.4)7 (18.9)9 (17.6)
Psychiatry19 (20.2)5 (13.5)
Others11 (11.7)4 (10.8)1 (2.0)< 0.001
Are you obligated or recommended to shadow bill?
Yes, obligated23 (62.2)48 (94.1)
Yes, it is recommended1 (2.7)2 (3.9)
No/unsure13 (35.1)1 (2.0)< 0.001
If your program or department has an APP, does it use any type of incentives to promote the use of shadow billing?
Yes3 (8.1)7 (13.7)
No27 (73.0)39 (76.5)
Unsure7 (18.9)5 (9.8)< 0.001
Age, yr
30-39 29 (30.8)10 (27.0)14 (27.4)< 0.001
40-59 54 (57.4)27 (73.0)31 (60.8)
≥ 59 11 (11.7)0.06 (11.8)
Sex
Male73 (77.7)28 (75.7)31 (60.8)< 0.001
Female21 (22.3)9 (24.3)20 (39.2)
Length of time in practice, yr
< 5 14 (15.0)7 (18.9)10 (19.6)< 0.001
5-14 39 (41.5)13 (35.1)21 (41.2)
≥ 15 42 (44.7)17 (46.0)20 (39.2)

Note: APP = alternative payment plan, blended = plans with both FFS and APP components, FFS = fee-for-service payment plan.

*Unless otherwise specified.