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In this study, we examine the effects of Medicaid managed care (MMC) on prenatal care utilization and infant health. We obtain separate estimates of the effect of primary care case management (PCCM) managed care programs and HMO managed care plans on prenatal care utilization, birth weight, and...
Persistent link: https://www.econbiz.de/10012469778
children. We examine both the probability that individual children were Medicaid-covered and their utilization of care. We find … children are more likely to be enrolled in Medicaid where Medicaid managed care organizations are more prevalent, whereas black … children are less likely to be enrolled. Also, toddlers are less likely to be enrolled than school age children. These lower …
Persistent link: https://www.econbiz.de/10012469903
Managed care activity may alter the incentives associated with the acquisition and use of new medical technologies, with potentially important implications for health care costs, patient care, and outcomes. This paper discusses mechanisms by which managed care could influence the adoption of new...
Persistent link: https://www.econbiz.de/10012470854
Persistent link: https://www.econbiz.de/10013480767
Because the optimal level of medical malpractice liability depends on the incentives provided by the health insurance system, the rise of managed care in the 1990s may affect the relationship between liability reform and defensive medicine. In this paper, we assess empirically the extent to...
Persistent link: https://www.econbiz.de/10012471238
We examine HMO participation and enrollment in the Medicare risk market for the years 1990 to 1995. We develop a profit- maximization model of HMO behavior, which explicitly considers potential linkages between an HMO's production decision in the commercial enrollee market and its participation...
Persistent link: https://www.econbiz.de/10012471400
By 1993, over 70% of all Americans with health insurance were enrolled in some form of managed care plan. The term managed care encompasses a diverse array of institutional arrangements, which combine various sets of mechanisms, that, in turn, have changed over time. The chapter reviews these...
Persistent link: https://www.econbiz.de/10012471583
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
Exploiting random assignment of Medicaid beneficiaries to managed care plans, we identify plan-specific effects on healthcare utilization. Auto-assignment to the lowest-spending plan generates 30% lower spending than if the same enrollee were assigned to the highest-spending plan, despite...
Persistent link: https://www.econbiz.de/10012481310
We analyze the role of three aspects of HMO market structure -- HMO penetration, HMO plan concentration, and HMO for-profit share on explaining hospital cost and revenue growth during the HMO expansion period (1994-1999) and backlash period (2000-2005). We find that HMO penetration effects...
Persistent link: https://www.econbiz.de/10012464872