Recent passage of legislation in Florida mandating the development of a statewide Medicaid managed care long-term care plan was initiated to facilitate the utilisation of home- and community-based long-term care services in place of high cost, non-skilled nursing home care. However, programme...

A nationally representative sample of 12,280 physicians was selected to investigate physician practices in 60 randomly selected communities. Multivariate analyses demonstrate that the more the physicians accept Medicare managed care patients, private or commercial insurance plans including...

Hospitals in California have argued that because of hospital competition and managed care, their costs have increased faster than their revenues. By developing a payer-specific Case Mix Index (CMI) for Medi-Cal, California's Medicaid programme, this study attempts to test the hospitals'...

Healthcare financing and insurance is changing everywhere. We want to understand the impact that financial pressures can have for the uninsured in advanced economies. To do so we focus on analyzing the effect of the introduction in the US of managed care and the big rise in financial pressures...

Microeconomic theory predicts that if patients are fully insured and providers are paid fee-for-service, utilization of medical services exceeds the efficient level (‘moral hazard effect’). In Switzerland, both demand-side and supply-side cost sharing have been introduced to mitigate this...

We extend prior research on the effect of managed care on the receipt of four medical interventions for pregnant women: ultrasound, induction/stimulation of birth, electronic fetal monitor, and cesarean delivery. Propensity score methods are used to account for sample selection issues regarding...

This primer aims to provide IMF macroeconomists with the essential information they need in situations where they must address issues concerning health sector policy and when they have significant macroeconomic implications. Such issues can also affect equity and growth and are fundamental to...

Economic Transition and Health Care Reform: The Experience of Europe and Central Asia