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来源类型 | Working Paper |
规范类型 | 报告 |
DOI | 10.3386/w23518 |
来源ID | Working Paper 23518 |
Health Plan Payment in Medicaid Managed Care: A Hybrid Model of Regulated Competition | |
Timothy Layton; Alice K. Ndikumana; Mark Shepard | |
发表日期 | 2017-06-19 |
出版年 | 2017 |
语种 | 英语 |
摘要 | Medicaid, the government program for providing health insurance to low-income and disabled Americans, is the largest health insurer in the United States with more than 73 million enrollees. It is also the sector of the U.S. public health insurance system that relies most heavily on the tools of regulated competition with more than 60% of its enrollees enrolled in a private health plan in 2014. However, regulated competition in Medicaid differs from the typical model, emphasizing the tools of competitive procurement -- such as competitive bidding, the threat of exclusion from the market, and auto-assignment of enrollees to plans -- to attempt to improve efficiency, instead of relying primarily on the forces of consumer demand. In this paper, we discuss how Medicaid combines the tools of competitive procurement with the tools of regulated competition and some potential consequences of this hybrid model. |
主题 | Health, Education, and Welfare ; Health |
URL | https://www.nber.org/papers/w23518 |
来源智库 | National Bureau of Economic Research (United States) |
引用统计 | |
资源类型 | 智库出版物 |
条目标识符 | http://119.78.100.153/handle/2XGU8XDN/581191 |
推荐引用方式 GB/T 7714 | Timothy Layton,Alice K. Ndikumana,Mark Shepard. Health Plan Payment in Medicaid Managed Care: A Hybrid Model of Regulated Competition. 2017. |
条目包含的文件 | ||||||
文件名称/大小 | 资源类型 | 版本类型 | 开放类型 | 使用许可 | ||
w23518.pdf(847KB) | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 |
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