Treatment effects of selection behavior in managed care plans: evidence from Medicaid
| Autor: | Carla S. Gomes |
|---|---|
| Rok vydání: | 2003 |
| Předmět: |
Economics and Econometrics
medicine.medical_specialty media_common.quotation_subject Disease 03 medical and health sciences Capitation Acute care 0502 economics and business Economics medicine 050207 economics health care economics and organizations media_common Medicaid managed care Medicaid 030503 health policy & services 05 social sciences Payment Mental health 3. Good health Managed care Family medicine 0305 other medical science General Economics Econometrics and Finance |
| Zdroj: | Repositório Científico de Acesso Aberto de Portugal Repositório Científico de Acesso Aberto de Portugal (RCAAP) instacron:RCAAP |
| ISSN: | 1617-9838 1617-982X |
| DOI: | 10.1007/s10258-003-0021-8 |
| Popis: | This paper tests whether capitated payments to Medicaid managed care plans induce to plans’ strategic undercutting of treatment for specific diagnostic groups. I focus on treatment (measured by length of stay and cost) in acute care hospitals in Massachusetts. I use a “differences-in-differences-in-differences” ap- proach, where the third differences compare treatment patterns between managed care plans that receive capitated payments with those that do not. I find that the first reduce treatment significantly more to mental health patients than to patients in other disease groups, whereas the latter reduce hospital resource use more uniformly across disease groups. These results highlight the importance of using payment mechanisms in public programs that reflect the variability in costs of beneficiaries. info:eu-repo/semantics/publishedVersion |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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