Medicaid has increasingly shifted from fee-for-service to managed care for long-term services and supports delivery, but little is known about the health effects. We study how transitioning to managed LTSS (MLTSS) affects the health of dual-eligible MedicareMedicaid beneficiaries in Florida and...

The optimal design of incentive contracts critically depends on whether the tasks performed by agents are complementary or substitutable, yet empirical evidence on this remains limited. This paper develops a novel empirical strategy to identify complementarities and substitutabilities in tasks,...

The optimal design of incentive contracts critically depends on whether the tasks performed by agents are complementary or substitutable, yet empirical evidence on this remains limited. This paper develops a novel empirical strategy to identify complementarities and substitutabilities in tasks,...

Narrow hospital networks have proliferated in health systems with managed care. We investigate the causal effect of network breadth on mortality leveraging the termination of the largest health insurer in Colombia. The termination caused a substantial increase in mortality accompanied by...

Improving global health outcomes amidst fiscal constraints, climate crises, and pandemics is a formidable challenge for governments worldwide. The recently published WHO/World Bank 2023 UHC Global Monitoring Report underscores a concerning reality: despite the goal of universal health coverage...

What is Integrated Care -- Refocussing Care What Does People Centredness Mean -- Evidence Supporting Integrated Care -- Values in Integrated Care -- Integrating Health and Social Care Systems -- Integrated Community Care A Community Drive -- Path Dependence and Integrated Care -- Values and...

Care is an essential part of all kinds of economic processes. However, its epistemological visibility in economic discourse fluctuates, shedding light on unpaid care work dynamics. It becomes visible in moments of crisis: research on intergenerational relations, childhood, and working conditions...

Managed care activity may alter the incentives associated with the acquisition and use of new medical technologies, with potentially important implications for health care costs, patient care, and outcomes. This paper discusses mechanisms by which managed care could influence the adoption of new...

Over the last two decades, employers have increasingly offered workers a choice of health plans. The availability of choice has the potentially beneficial effects of lowering the cost and increasing the quality of health care through greater competition among health plans for enrollees as well...

During the 1990s US healthcare markets underwent a significant transformation. Managed care rose to become the dominant form of insurance in the private sector. Also, a wave of hospital consolidation occurred. In 1990, the mean population-weighted hospital Herfindahl-Hirschman Index (HHI) in a...

Managed care health insurers in the US restrict their enrollees' choice of hospitals to within specific networks. This paper considers the implications of these restrictions. A three-step econometric model is used to predict consumer preferences over health plans conditional on the hospitals...

State governments contract with health maintenance organizations (HMOs) to coordinate medical care for nearly 20 million Medicaid recipients. Identifying the causal effect of HMO enrollment on government spending and health care quality is difficult if, as is often the case, recipients have the...

Medicaid is increasingly provided by private managed care plans. I investigate the staggered rollout of mandates across counties in New York, which required Medicaid beneficiaries to enroll in a private managed care plan. I find improvements following the mandate, as evidenced by increased...

Chapter 1 Healthcare Systems of the World -- Chapter 2 Future of Health Care Delivery -- Chapter 3 Epidemiological Perspective of HC Management -- Chapter 4 Health Policy & Planning -- Chapter 5 Health Care Finance -- Chapter 6 Evaluating Health Systems -- Chapter 7 Health Care Needs Assessment...

Gesundheitspolitik ist angesichts der vielfältigen Herausforderungen an das deutsche Gesundheitssystem in aller Munde. Es erscheint notwendig, diesen Diskurs unter anderem auch aus einer ökonomisch-volkswirtschaftlichen Perspektive zu führen. Hauptanliegen dieses Lehrbuches ist es, die dafür...

This insightful Research Handbook delivers a comprehensive analysis of the significant contemporary trends and issues affecting human resource management (HRM) for health care, and their subsequent impact on individuals, organisations and national health services.This title contains one or more...

-- Einleitung. -- Grundlagen und Anwendungsszenarien. -- Entwicklung von Patientenpfaden. -- Implementierung und Digitalisierung von Patientenpfaden. -- Evaluation von Patientenpfaden. -- Zusammenfassung und Ausblick.

Integrating the health services and insurance industries (HMOs) could lower expenditure by reducing either the quantity of services or unit price. We compare the treatment of heart attacks and newly diagnosed chest pain in HMOs and traditional plans in two data sets. The nature of these health...

By 1993, over 70% of all Americans with health insurance were enrolled in some form of managed care plan. The term managed care encompasses a diverse array of institutional arrangements, which combine various sets of mechanisms, that, in turn, have changed over time. The chapter reviews these...

We examine HMO participation and enrollment in the Medicare risk market for the years 1990 to 1995. We develop a profit- maximization model of HMO behavior, which explicitly considers potential linkages between an HMO's production decision in the commercial enrollee market and its participation...

This study examined the effects of education, income, and wealth on medical care expenditures in two Medicare managed care plans. The study also sought to elucidate the pathways through which socioeconomic status (SES) affects expenditures, including preferences for health and medical care and...

We investigate the effect of managed care on the health care system, focusing on the effects managed care could have on the number and types of health care providers and their efficiency. By influencing providers, managed care may change the structure and performance of the entire health care...

We extend our previous research by determining whether, and how, the impact of managed care on substance abuse treatment (SAT) services differs by facility ownership. We use the 2000 National Survey of Substance Abuse Treatment Services that contains data on service offerings and other...

It is generally assumed that managed care has been successful at capturing discounts from medical providers, but the implications have been a matter of debate. Critics argue that managed care organizations attain savings by reducing intensity of services, while others have argued that savings...

Many questions about technology growth and development in health care call for a broad-based characterization of technology availability. In this paper, we explore the possibility of producing aggregated estimates of technology availability by constructing an index of technology availability in...

Applying antitrust law to health care is a bit like reading poetry in translation. The words are all there, but the patterns and structure do not quite come across. Antitrust law envisions a world of buyers and sellers who trade goods or services for money in a market that should be as fair and...

Americans are experienced at fixing blame when things go wrong. Our political system lets us throw out the leaders whose lack of judgment, skill, or honesty seems to have been the cause. Our legal system lets us sue individuals or corporations perceived to have been at fault. Although it does...

There is considerable evidence that patients that are treated by high volume physicians and hospitals have better health outcomes than patients treated by low volume physicians and hospitals. Thus, as an indirect measure of quality differences between managed care and traditional fee-for-service...

Background: Parity in insurance coverage for mental health and substance abuse has been a key goal of mental health and substance abuse care advocates in the United States during most of the past 20 years. The push for parity began during the era of indemnity insurance and fee for service...

By 2022, the Indian healthcare industry is projected to rise to US$ 372 billion, powered by increased revenue, enhanced health literacy, lifestyle diseases and increased access to insurance. The healthcare industry is a significant and developing research context that can be defined by a strong...

Recently, not-for-profit health plans have been converting to for-profit status and these conversions have frequently occurred as steps to facilitate merger or acquisition with a for-profit company. Some industry observers attribute these managed care market place trends to an industry shake out...