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来源类型Publication
Effects of Medicaid Disease Management Programs on Medical Expenditures: Evidence from a Natural Experiment in Georgia
Keith Kranker
发表日期2016-03-02
出版者Journal of Health Economics, vol. 46
出版年2016
语种英语
概述In recent decades, most states’ Medicaid programs have introduced disease management programs for chronically ill beneficiaries. Interventions assist beneficiaries and their health care providers to appropriately manage chronic health condition(s) according to established clinical guidelines. Cost containment has been a key justification for the creation of these programs despite mixed evidence they actually save money. This study evaluates the effects of a disease management program in Georgia by exploiting a natural experiment that delayed the introduction of high-intensity services for several thousand beneficiaries.",
摘要In recent decades, most states’ Medicaid programs have introduced disease management programs for chronically ill beneficiaries. Interventions assist beneficiaries and their health care providers to appropriately manage chronic health condition(s) according to established clinical guidelines. Cost containment has been a key justification for the creation of these programs despite mixed evidence they actually save money. This study evaluates the effects of a disease management program in Georgia by exploiting a natural experiment that delayed the introduction of high-intensity services for several thousand beneficiaries. Expenditures for medical claims decreased an average of $89 per person per month for the high- and moderate-risk groups, but those savings were not large enough to offset the total costs of the program. Impacts varied by the intensity of interventions, over time, and across disease groups. Heterogeneous treatment effect analysis indicates that decreases in medical expenditures were largest at the most expensive tail of the distribution.
URLhttps://www.mathematica.org/our-publications-and-findings/publications/effects-of-medicaid-disease-management-programs-on-medical-expenditures
来源智库Mathematica Policy Research (United States)
资源类型智库出版物
条目标识符http://119.78.100.153/handle/2XGU8XDN/488439
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GB/T 7714
Keith Kranker. Effects of Medicaid Disease Management Programs on Medical Expenditures: Evidence from a Natural Experiment in Georgia. 2016.
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