The difficulties that Medicaid beneficiaries face accessing medical care are often attributed to the program's low reimbursement rates relative to other payers. There is little evidence, however, as to the actual effects of Medicaid doctor payment rates on access and health outcomes for...

This essay evolves from one side of the ACA Supreme Court case, Florida v. Department of Health and Human Services, namely the challenge mounted by several states concerning their obligation to expand Medicaid coverage by raising eligibility standards to 133 percent of the federal poverty, which...

In today's Social Security and Medicare business model, children and grandchildren pay six dollars of current taxes to provide six dollars of current benefits for their parents and grandparents. If we convert to a business model which uses compound interest so every generation pre-funds their...

For the first fifty years of its existence, Medicaid suffered from a serious defect. While it was adopted to meet the health care needs of the poor, it only met the needs of the so-called “deserving” poor — children, pregnant women, single caretakers of children, and disabled persons —...

Medicaid is the need based government program that pays for much of the health care for the poor in the United States. Medicaid often ends up paying the costs of nursing home care for middle class seniors who have descended into poverty as a result of the high costs of such care. For married...

I study the effect of the 1973 expansion of Medicare coverage to individuals with End-Stage Renal Disease (ESRD) on insurance coverage, health care utilization, and mortality. Between the ESRD expansion and a simultaneous expansion of Medicare coverage to long-term Social Security Disability...

I estimate the welfare, both gross and net, provided by the Medicare managed care program in 1999 through 2002. First, I estimate a model of demand for the benefits offered by managed care plans to Medicare beneficiaries. I then use the demand estimates to form estimates of welfare provided by...

Medicaid occupies a special place among government programs for the poor. Public support for Medicaid is broader and deeper than for other safety net programs because the consequences of inadequate medical care can be much more immediate and severe than those of a lack of money or even food....

We show that the provision of even incomplete public insurance can substantially crowd out private insurance demand. We examine the interaction of the public Medicaid program with the private market for long-term care insurance and estimate that Medicaid can explain the lack of private insurance...

This Article employs a behavioral economic analysis to understand why Medicaid has failed to improve the health outcomes of its beneficiaries. It begins with a formal economic model of health care consumption and then systematically incorporates a survey of psychosocial variables to formulate...