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Medicaid Managed Care : Efficiency, Medical Loss Ratio, and Quality of Care
Brockett, Patrick L. - 2019
Medicaid managed care and contains several provisions to strengthen delivery and payment reforms and improve efficiency and … quality of care. Accordingly, this research examines the quality of Medicaid managed care and the effect of MLR and efficiency …. The results show that, medical services efficiency has an insignificant (but negative) effect on the quality of care …
Persistent link: https://www.econbiz.de/10012860600
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Medicare Advantage, Medical Loss Ratio, Service Efficiency, and Efficiently Positive Health Outcomes
Brockett, Patrick L.; Golden, Linda L.; Wei, Pengyu; … - 2022
an efficiency measure for the insurer performance: medical service utilization efficiency (an assessment of how …-stage analytical approach: efficiency analysis followed by regressions. We quantify insurer efficiency using Data Envelopment Analysis … (DEA), which determines the relative efficiency of an insurer when the inputs and outputs can both be multivariate. We then …
Persistent link: https://www.econbiz.de/10014030464
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Plugging gaps in payment systems : evidence from the take-up of new medicare billing codes
Clemens, Jeffrey; Leganza, Jonathan M.; Masucci, Alex - 2021
Over the last decade, the U.S. Medicare program has added new billing codes to enhance the financial rewards for Chronic Care Management and Transitional Care Management. We show that the take-up of these new billing codes is gradual and exhibits substantial variations across markets and...
Persistent link: https://www.econbiz.de/10012599060
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Zur Zukunft eines flächendeckenden Kostenerstattungssystems
Drabinski, Thomas - In: Kostenerstattung in der gesetzlichen …, (pp. 10-48). 2008
Persistent link: https://www.econbiz.de/10003717021
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Von den Privaten lernen : für ein allgemeines Kostenerstattungsprinzip
Müller, Wolfgang; Röder, Frederik Cyrus - In: Kostenerstattung in der gesetzlichen …, (pp. 58-62). 2008
Persistent link: https://www.econbiz.de/10003717085
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Increased medicare expenditures for physicians' services : What are the causes?
Beeuwkes Buntin, Melinda J.; Escarce, José J.; … - In: Inquiry : a journal of health care organization, … 41 (2004) 1, pp. 83-94
Persistent link: https://www.econbiz.de/10002115690
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Leistungs- und Kostenprofile in der GKV : vergleichende Darstellung der Inanspruchnahme medizinischer Leistungen nach Alter und Geschlecht bei vier Krankenkassen ; medizinisch-ökon...
Paquet, Robert; Schräder, W. F. - In: Wissenschaftlich fundierte Weiterentwicklung des …, (pp. 41-68). 2006
Persistent link: https://www.econbiz.de/10003358049
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State prescription drug policies, cost barriers, and the use of acute care services by medicaid beneficiaries
Tennyson, Sharon L.; Yang, Hae Kyung - In: Journal of consumer affairs : official publication of … 43 (2009) 1, pp. 4-25
Persistent link: https://www.econbiz.de/10003833357
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Does your health care depend on how your insurer pays providers? : variation in utilization and outcomes in Thailand
Hirunrassamee, Sanita; Ratanawijitrasin, Sauwakon - In: International journal of health care finance and economics 9 (2009) 2, pp. 153-168
Persistent link: https://www.econbiz.de/10003860816