G2TT
来源类型Working Paper
规范类型报告
DOI10.3386/w23518
来源IDWorking 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
URLhttps://www.nber.org/papers/w23518
来源智库National Bureau of Economic Research (United States)
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资源类型智库出版物
条目标识符http://119.78.100.153/handle/2XGU8XDN/581191
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Timothy Layton,Alice K. Ndikumana,Mark Shepard. Health Plan Payment in Medicaid Managed Care: A Hybrid Model of Regulated Competition. 2017.
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