Author: Ajin LeePublisher:
ISBN:
Category :
Languages : en
Pages : 0
Book Description
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 routine office visits and child immunizations for Medicaid beneficiaries. Routine office visits similarly increased for the privately insured, especially in low-income areas, suggesting that physicians updated their overall practice styles when the mandate affected a large share of their patients. The same-signed spillover suggests that managed care directly shifted provider practice styles instead of simply sorting patients toward certain providers. Consistent with this result, I show that managed care expanded Medicaid beneficiaries' access to physicians and reduced market concentration relative to the public system.
