G2TT
来源类型Working Paper
规范类型报告
DOI10.3386/w19070
来源IDWorking Paper 19070
The Spillover Effects of Medicare Managed Care: Medicare Advantage and Hospital Utilization
Katherine Baicker; Michael Chernew; Jacob Robbins
发表日期2013-05-23
出版年2013
语种英语
摘要More than a quarter of Medicare beneficiaries are enrolled in Medicare Advantage, which was created in large part to improve the efficiency of health care delivery by promoting competition among private managed care plans. This paper explores the spillover effects of the Medicare Advantage program on the traditional Medicare program and other patients, taking advantage of changes in Medicare Advantage payment policy to isolate exogenous increases in Medicare Advantage enrollment and trace out the effects of greater managed care penetration on hospital utilization and spending throughout the health care system. We find that when more seniors enroll in Medicare managed care, hospital costs decline for all seniors and for commercially insured younger populations. Greater managed care penetration is not associated with fewer hospitalizations, but is associated with lower costs and shorter stays per hospitalization. These spillovers are substantial - offsetting more than 10% of increased payments to Medicare Advantage plans.
主题Health, Education, and Welfare ; Health
URLhttps://www.nber.org/papers/w19070
来源智库National Bureau of Economic Research (United States)
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资源类型智库出版物
条目标识符http://119.78.100.153/handle/2XGU8XDN/576745
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GB/T 7714
Katherine Baicker,Michael Chernew,Jacob Robbins. The Spillover Effects of Medicare Managed Care: Medicare Advantage and Hospital Utilization. 2013.
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