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We investigate the relationship between welfare reform and health insurance, health care utilization, and self … comparison groups). We find that welfare reform is associated with reductions in health insurance coverage and specific measures … no statistically significant effects of reform on health status. Overall, effects are somewhat larger for Hispanics …
Persistent link: https://www.econbiz.de/10013230805
Despite the popularity of pay-for-performance (P4P) among health policymakers and private insurers as a tool for improving quality of care, there is little empirical basis for its effectiveness. We use data from published performance reports of physician medical groups contracting with a large...
Persistent link: https://www.econbiz.de/10012757542
Prices in government and employer-sponsored health insurance markets only partially reflect insurers' expected costs of coverage for different enrollees. This can create inefficient distortions when consumers self-select into plans. We develop a simple model to study this problem and estimate it...
Persistent link: https://www.econbiz.de/10012759099
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/10012759599
The objective of this study is to use data from the National Survey of Children with Special Health Care Needs (NS-CSHCN) to test whether Medicaid physician fees are correlated with access to health services and adequacy of insurance coverage among CSHCN. We use a difference-in-differences...
Persistent link: https://www.econbiz.de/10012840855
This article examines how the financial health changes following an individual's enrollment in Michigan's Medicaid program (Healthy Michigan Program, HMP). We use unique data that links credit reports of HMP enrollees to Medicaid administrative data on enrollment and use of health care services....
Persistent link: https://www.econbiz.de/10012911083
Efforts to raise the productivity of the U.S. health care system have proceeded slowly. One potential explanation is the fragmentation of payment across insurers. Each insurer's efforts to improve care could influence how doctors practice medicine for other insurers, leading to unvalued...
Persistent link: https://www.econbiz.de/10012832460
We use a combination of administrative and survey data to estimate the fraction of individuals newly enrolled in public health coverage (Wisconsin's combined Medicaid and CHIP program) that had access to private, employer-sponsored health insurance at the time of their enrollment and the...
Persistent link: https://www.econbiz.de/10013008631
The Affordable Care Act Marketplaces were introduced in 2014 as part of a reform of the U.S. individual health … market segment with the lowest rates of take-up and greatest concerns about access to robust coverage. As part of the reform …
Persistent link: https://www.econbiz.de/10012955448
Medical divorce occurs when couples split up so that one spouse's medical bills do not deplete the assets of the healthy spouse. It has not been studied in the economics literature, but it has been discussed by attorneys and widely reported in the media. We develop a model of medical divorce...
Persistent link: https://www.econbiz.de/10012963188