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. This increase has been concentrated in the Medicaid caseload nationwide. One of the most striking changes in Medicaid has … been the transition from fee-for-service (FFS) reimbursement to Medicaid managed care (MMC), which had taken place in 80 …% of states by 2016. Using Medicaid claims from South Carolina, we show that this change contributed to the increase in …
Persistent link: https://www.econbiz.de/10012453730
indigent patients through Medicaid and providing hospitals with supplemental payments through programs such as Medicaid …
Persistent link: https://www.econbiz.de/10013172191
This paper is concerned with the economics of mental health. We argue that mental health economics is like health economics only more so: uncertainty and variation in treatments are greater; the assumption of patient self-interested behavior is more dubious; response to financial incentives such...
Persistent link: https://www.econbiz.de/10012471749
Background: Parity in insurance coverage for mental health and substance abuse has been a key goal of mental health and substance abuse care advocates in the United States during most of the past 20 years. The push for parity began during the era of indemnity insurance and fee for service...
Persistent link: https://www.econbiz.de/10012471942
Exploiting random assignment of Medicaid beneficiaries to managed care plans, we identify plan-specific effects on …
Persistent link: https://www.econbiz.de/10012481310
This paper investigates the impact of Medicare HMO penetration on the medical care expenditures incurred by Medicare fee-for-service enrollees. We find that increasing penetration leads to reduced health care spending on fee-for-service beneficiaries. In particular, a one percentage point...
Persistent link: https://www.econbiz.de/10012464901
This study examined the effects of education, income, and wealth on medical care expenditures in two Medicare managed care plans. The study also sought to elucidate the pathways through which socioeconomic status (SES) affects expenditures, including preferences for health and medical care and...
Persistent link: https://www.econbiz.de/10012467933
The objective of this study is to estimate the effects of competition for both Medicare and HMO patients on the quality decisions of hospitals in Southern California. We use discharge data from the State of California for the period 1989-1993. The outcome variables are the risk-adjusted hospital...
Persistent link: https://www.econbiz.de/10012469503
million Medicaid recipients. Identifying the causal effect of HMO enrollment on government spending and health care quality is … required most Medicaid recipients to enroll in a managed care plan. The empirical results demonstrate that the resulting switch …
Persistent link: https://www.econbiz.de/10012469622
In this study, we examine the effects of Medicaid managed care (MMC) on prenatal care utilization and infant health. We …, and we conclude that Medicaid managed care had virtually no causal effect on, prenatal care use, birth outcomes, and …
Persistent link: https://www.econbiz.de/10012469778