A Dose of Managed Care: Controlling Drug Spending in Medicaid

نویسندگان

چکیده

We study the effect of privatizing Medicaid drug benefits on prices and utilization. Drug spending would decrease by 21.3 percent if private insurers administered all benefits. One-third is driven insurers’ ability to negotiate with pharmacies. The remaining two-thirds greater use lower cost drugs, such as generics, only realized in states that give flexibility design Privatization does not reduce prescriptions per enrollee cuts are smaller for drugs medical spending. (JEL G22, H51, I11, I13, I18, I38, L65)

برای دانلود باید عضویت طلایی داشته باشید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Financial incentives and drug spending in managed care.

This study estimates the impact of patient financial incentives on the use and cost of prescription drugs in the context of differing physician payment mechanisms. A large data set was developed that covers persons in managed care who pay varying levels of cost sharing and whose physicians are compensated under two different models: independent practice association (IPA)-model and network-model...

متن کامل

Medicaid Confronts a Changing Managed Care Marketplace

After two decades of concerted efforts, more than one-half of all Medicaid beneficiaries are now enrolled in managed care arrangements. Most States appear strongly committed to continued reliance on managed care, but the contemporary managed care marketplace is undergoing a number of significant changes. We describe how several of these developments are being revealed in commercial managed care...

متن کامل

Increasing immunization: a Medicaid managed care model.

OBJECTIVE To evaluate the impact of an immunization outreach program on immunization rates. SETTING A Pennsylvania independent practice association model managed care organization (100% Medicaid). DESIGN Retrospective cohort study (N = 2511) of children 30 to 35 months of age from two age cohorts that compared immunization rates for Advisory Committee on Immunization Practices schedules for...

متن کامل

Medicaid Managed Care: State Flexibility in Action

5 Medicaid Managed Care: State Flexibility in Action Introduction 7 Origins of Managed Care Innovation in Medicaid 8 Federalism and Experimentation—Waivers as a Framework for Innovating 12 The Federal–State “Cold War” over Medicaid Waiver Policy 15 Beneficiary Protection: By Whom and From Whom? 18 States as Laboratories for Innovation: An Operational Appraisal 21 States as Laboratories for Inno...

متن کامل

State Medicaid managed care enrollment: understanding the political calculus that drives Medicaid managed care reforms.

The objective of this article is to understand the political motivations underlying Medicaid managed care reforms by examining the determinants of enrollment of beneficiaries in managed care plans in the fifty states. To highlight the role of the model variables, including measures of the political environment, public interest, and special interests, a distinction is made between capitated and ...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

ژورنال

عنوان ژورنال: American Economic Journal: Applied Economics

سال: 2021

ISSN: ['1945-7782', '1945-7790']

DOI: https://doi.org/10.1257/app.20190165