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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/10012944625
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/10013234052
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/10013242901
More than a quarter of Medicare beneficiaries are enrolled in Medicare Advantage, which was created in large part to improve the efficiency of health care delivery by promoting competition among private managed care plans. This paper explores the spillover effects of the Medicare Advantage...
Persistent link: https://www.econbiz.de/10013081499
Medicaid, the government program for providing health insurance to low-income and disabled Americans, is the largest … a private health plan in 2014. However, regulated competition in Medicaid differs from the typical model, emphasizing …. In this paper, we discuss how Medicaid combines the tools of competitive procurement with the tools of regulated …
Persistent link: https://www.econbiz.de/10012953984
privatizing the delivery of Medicaid drug benefits on drug spending. Exploiting granular data that allow us to examine drug … utilization, we find that drug spending would fall by 22.4 percent if the drug benefit was fully administered by Medicaid Managed …
Persistent link: https://www.econbiz.de/10012945134
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
Exploiting random assignment of Medicaid beneficiaries to managed care plans, we identify plan-specific effects on …
Persistent link: https://www.econbiz.de/10012824274
Health insurers increasingly compete on their covered networks of medical providers. Using data from Massachusetts' pioneer insurance exchange, I find substantial adverse selection against plans covering the most prestigious and expensive “star” hospitals. I highlight a theoretically...
Persistent link: https://www.econbiz.de/10012983664
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/10013225384