| 来源类型 | Working Paper |
| 规范类型 | 报告 |
| DOI | 10.3386/w26042 |
| 来源ID | Working Paper 26042 |
| Private vs. Public Provision of Social Insurance: Evidence from Medicaid | |
| Timothy J. Layton; Nicole Maestas; Daniel Prinz; Boris Vabson | |
| 发表日期 | 2019-07-08 |
| 出版年 | 2019 |
| 语种 | 英语 |
| 摘要 | Public health insurance benefits in the U.S. are increasingly provided by private firms, despite mixed evidence on welfare effects. We investigate the impact of privatization in Medicaid by exploiting the staggered introduction of county-level mandates in Texas that required disabled beneficiaries to switch from public to private plans. Compared to the public program, which used blunt rationing to control costs, we find privatization led to improvements in healthcare—including increased consumption of high-value drug treatments and fewer avoidable hospitalizations—but also higher Medicaid spending. We conclude that private provision can be beneficial when constraints in the public setting limit efficiency. |
| 主题 | Public Economics ; National Fiscal Issues ; Subnational Fiscal Issues ; Health, Education, and Welfare ; Health |
| URL | https://www.nber.org/papers/w26042 |
| 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/583716 |
| 推荐引用方式 GB/T 7714 | Timothy J. Layton,Nicole Maestas,Daniel Prinz,et al. Private vs. Public Provision of Social Insurance: Evidence from Medicaid. 2019. |
| 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 | ||
| w26042.pdf（7195KB） | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 | ||
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