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 …

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 …