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associated board certification certified general internists certified internists certified pediatricians charges No difference charges per episode confidence interval consumer cost sharing plans decreased defined diagnostic difference Increased difference No difference dissertation Dummy variable effect of cost effect of specialty enrollees episode No difference estimated effects examined the effect family practice four CRVS categories full sample health care services health insurance health status impact of cost individual measures of utilization medical and pathology medical charges medical services mix control mix sample number of episodes office-based medical P-value pathology charges pathology services patients physician specialty point estimate practitioners and certified prices No difference provided by certified radiology charges radiology services Rand Corporation resource self-declared service categories service inputs services No difference simple linear model specialty training standard errors statistically significant difference statistically significant effect surgical services T-statistics Table total charges two-stage model uncertified family practitioners unit of service