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来源类型Working Paper
规范类型报告
DOI10.3386/w23983
来源IDWorking Paper 23983
Exploding Asthma and ADHD Caseloads: The Role of Medicaid Managed Care
Anna Chorniy; Janet Currie; Lyudmyla Sonchak
发表日期2017-10-30
出版年2017
语种英语
摘要In the U.S., nearly 11% of school-age children have been diagnosed with ADHD, and approximately 10% of children suffer from asthma. In the last decade, the number of children diagnosed with these conditions has inexplicably been on the rise. This increase has been concentrated in the Medicaid caseload nationwide. One of the most striking changes in Medicaid has been the transition from fee-for-service (FFS) reimbursement to Medicaid managed care (MMC), which had taken place in 80% of states by 2016. Using Medicaid claims from South Carolina, we show that this change contributed to the increase in asthma and ADHD caseloads. Empirically, we rely on variation in MMC enrollment due to a change in the “default” Medicaid plan from FFS to MMC, and on rich panel data that allow us to follow the same children before and after they were required to switch. We find that the transition from FFS to MMC explains about a third of the rise in the number of Medicaid children being treated for ADHD and asthma, along with increases in treatment for many other conditions. These are likely to be due to the incentives created by the risk adjustment and quality control systems in MMC.
主题Health, Education, and Welfare ; Health
URLhttps://www.nber.org/papers/w23983
来源智库National Bureau of Economic Research (United States)
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条目标识符http://119.78.100.153/handle/2XGU8XDN/581657
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Anna Chorniy,Janet Currie,Lyudmyla Sonchak. Exploding Asthma and ADHD Caseloads: The Role of Medicaid Managed Care. 2017.
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