| 来源类型 | Working Paper |
| 规范类型 | 报告 |
| DOI | 10.3386/w6164 |
| 来源ID | Working Paper 6164 |
| Selection, Marketing, and Medicaid Managed Care | |
| Sherry Glied; Jane Sisk; Sheila Gorman; Michael Ganz | |
| 发表日期 | 1997-09-01 |
| 出版年 | 1997 |
| 语种 | 英语 |
| 摘要 | In several states, the Medicaid program allows beneficiaries a choice among multiple managed care plans and traditional Medicaid. This paper uses data from a survey of New York City Medicaid beneficiaries enrolled in conventional Medicaid and in 5 Medicaid managed care plans to study the effect of plan selection on measures of satisfaction with care, access to a regular source of care, and utilization of ambulatory and emergency room services. We use information on health status to evaluate selection on observable characteristics; variation in geographic patterns of enrollment to assess selection on unobservable characteristics; and survey responses to questions about source of information about a plan to study selection responses to plan marketing. We find that managed care enrollees differed from those who stayed in traditional Medicaid on both observable and unobservable characteristics. Adjusting for population differences reduced the positive effect of managed care on satisfaction with care and eliminated the apparent utilization savings from managed care, but did not reduce the positive effect of managed care on access to regular care. Enrollees in different managed care plans did not differ substantially in terms of their observable health-related characteristics, but did, however, on unobservable characteristics in ways that affected measures of satisfaction, access, and utilization. Finally, we find that enrollees who learned about plans from plan representatives were healthier than those who learned about plans from city income support staff. This suggests that marketing practices can be a contributor to selection. Differences in marketing, however, also had direct effects on patterns of use of health services that should be considered in making marketing policy decisions. |
| 主题 | Health, Education, and Welfare ; Health |
| URL | https://www.nber.org/papers/w6164 |
| 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/563672 |
| 推荐引用方式 GB/T 7714 | Sherry Glied,Jane Sisk,Sheila Gorman,et al. Selection, Marketing, and Medicaid Managed Care. 1997. |
| 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 | ||
| w6164.pdf（730KB） | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 | ||
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