全球智库信息集成服务系统(G2TT): Who Benefits when the Government Pays More? Pass-Through in the Medicare Advantage Program

G2TT

来源类型	Working Paper
规范类型	报告
DOI	10.3386/w19989
来源ID	Working Paper 19989
	Who Benefits when the Government Pays More? Pass-Through in the Medicare Advantage Program
	Mark Duggan; Amanda Starc; Boris Vabson
发表日期	2014-03-20
出版年	2014
语种	英语
摘要	Governments contract with private firms to provide a wide range of services. While a large body of previous work has estimated the effects of that contracting, surprisingly little has investigated how those effects vary with the generosity of the contract. In this paper we examine this issue in the Medicare Advantage (MA) program, through which the federal government contracts with private insurers to coordinate and finance health care for more than 15 million Medicare recipients. To do this, we exploit a substantial policy-induced increase in MA reimbursement in metropolitan areas with a population of 250 thousand or more relative to MSAs just below this threshold. Our results demonstrate that the additional reimbursement leads more private firms to enter this market and to an increase in the share of Medicare recipients enrolled in MA plans. Our findings also reveal that only about one-fifth of the additional reimbursement is passed through to consumers in the form of better coverage. A somewhat larger share accrues to private insurers in the form of higher profits and we find suggestive evidence of a large impact on advertising expenditures. Our results have implications for a key feature of the Affordable Care Act that will reduce reimbursement to MA plans by $156 billion from 2013 to 2022.
主题	Public Economics ; Taxation ; Health, Education, and Welfare ; Health ; Industrial Organization ; Market Structure and Firm Performance
URL	https://www.nber.org/papers/w19989
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/577663
推荐引用方式 GB/T 7714	Mark Duggan,Amanda Starc,Boris Vabson. Who Benefits when the Government Pays More? Pass-Through in the Medicare Advantage Program. 2014.