This study identifies longitudinal psychiatric trajectories of 934 adult individuals entering chemical dependency treatment in a private, managed care health plan and examines the relationship of these trajectories with substance use (SU) outcomes. The authors apply a group-based modeling...

Focuses on initial program design and experience under HealthChoice as of late 1998, noting that the state continues to face substantial challenges in realizing the ambitious goals set for the program. Available only from the Henry J. Kaiser Family Foundation. (800) 656-4533.

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...

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...

Evaluating Accountable Care Organizations is difficult because there is a great deal of heterogeneity in terms of their reimbursement incentives and other programmatic features. We examine how variation in reimbursement incentives and administration among two Medicaid managed care plans impacts...

Managed care (MC) imposes restrictions on physician behavior, but also holds promises, especially in terms of cost savings and improvements in treatment quality. This contribution reports on private-practice physicians’ willingness to accept (WTA, compensation asked, respectively) for several...

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...