Matches in SemOpenAlex for { <https://semopenalex.org/work/W3122315717> ?p ?o ?g. }
Showing items 1 to 75 of
75
with 100 items per page.
- W3122315717 abstract "Increasingly in U.S. public insurance programs, the state finances and regulates competing, capitated private health plans but does not itself directly insure beneficiaries through a public fee-for-service (FFS) plan. We develop a simple model of risk-selection in such settings. Capitation incentivizes insurers to retain low-cost clients and thus improve their care relative to high-cost clients, who they prefer would switch to a competitor. We test this prediction using county transitions from FFS Medicaid to capitated Medicaid managed care (MMC) for pregnant women and infants. We first document the large health disparities and corresponding cost differences between blacks and Hispanics (who make up the large majority of Medicaid enrollees in our data), with black births costing nearly double that of Hispanics. Consistent with the model, black-Hispanic infant health disparities widen under MMC (e.g., the black-Hispanic mortality gap grows by 42 percent) and black mothers' pre-natal care worsens relative to that of Hispanics. Remarkably, black birth rates fall (and abortions rise) significantly after MMC--consistent with mothers reacting to poor care by reducing fertility or plans discouraging births from high-cost groups. Implications for the ACA exchanges are discussed" @default.
- W3122315717 created "2021-02-01" @default.
- W3122315717 creator A5054373153 @default.
- W3122315717 creator A5058884774 @default.
- W3122315717 creator A5069254285 @default.
- W3122315717 date "2013-07-01" @default.
- W3122315717 modified "2023-09-28" @default.
- W3122315717 title "Do Insurers Risk-Select Against Each Other? Evidence from Medicaid and Implications for Health Reform" @default.
- W3122315717 hasPublicationYear "2013" @default.
- W3122315717 type Work @default.
- W3122315717 sameAs 3122315717 @default.
- W3122315717 citedByCount "0" @default.
- W3122315717 crossrefType "posted-content" @default.
- W3122315717 hasAuthorship W3122315717A5054373153 @default.
- W3122315717 hasAuthorship W3122315717A5058884774 @default.
- W3122315717 hasAuthorship W3122315717A5069254285 @default.
- W3122315717 hasConcept C10138342 @default.
- W3122315717 hasConcept C144024400 @default.
- W3122315717 hasConcept C144133560 @default.
- W3122315717 hasConcept C145097563 @default.
- W3122315717 hasConcept C149923435 @default.
- W3122315717 hasConcept C160735492 @default.
- W3122315717 hasConcept C162118730 @default.
- W3122315717 hasConcept C162324750 @default.
- W3122315717 hasConcept C162853370 @default.
- W3122315717 hasConcept C164624739 @default.
- W3122315717 hasConcept C2776196091 @default.
- W3122315717 hasConcept C2776534028 @default.
- W3122315717 hasConcept C50522688 @default.
- W3122315717 hasConcept C512399662 @default.
- W3122315717 hasConcept C71924100 @default.
- W3122315717 hasConcept C99454951 @default.
- W3122315717 hasConceptScore W3122315717C10138342 @default.
- W3122315717 hasConceptScore W3122315717C144024400 @default.
- W3122315717 hasConceptScore W3122315717C144133560 @default.
- W3122315717 hasConceptScore W3122315717C145097563 @default.
- W3122315717 hasConceptScore W3122315717C149923435 @default.
- W3122315717 hasConceptScore W3122315717C160735492 @default.
- W3122315717 hasConceptScore W3122315717C162118730 @default.
- W3122315717 hasConceptScore W3122315717C162324750 @default.
- W3122315717 hasConceptScore W3122315717C162853370 @default.
- W3122315717 hasConceptScore W3122315717C164624739 @default.
- W3122315717 hasConceptScore W3122315717C2776196091 @default.
- W3122315717 hasConceptScore W3122315717C2776534028 @default.
- W3122315717 hasConceptScore W3122315717C50522688 @default.
- W3122315717 hasConceptScore W3122315717C512399662 @default.
- W3122315717 hasConceptScore W3122315717C71924100 @default.
- W3122315717 hasConceptScore W3122315717C99454951 @default.
- W3122315717 hasLocation W31223157171 @default.
- W3122315717 hasOpenAccess W3122315717 @default.
- W3122315717 hasPrimaryLocation W31223157171 @default.
- W3122315717 hasRelatedWork W109506750 @default.
- W3122315717 hasRelatedWork W1485478948 @default.
- W3122315717 hasRelatedWork W1544137180 @default.
- W3122315717 hasRelatedWork W191717184 @default.
- W3122315717 hasRelatedWork W1964134138 @default.
- W3122315717 hasRelatedWork W2058501156 @default.
- W3122315717 hasRelatedWork W2119780181 @default.
- W3122315717 hasRelatedWork W2133754767 @default.
- W3122315717 hasRelatedWork W2138732212 @default.
- W3122315717 hasRelatedWork W2146030542 @default.
- W3122315717 hasRelatedWork W2152236319 @default.
- W3122315717 hasRelatedWork W2168402854 @default.
- W3122315717 hasRelatedWork W229717664 @default.
- W3122315717 hasRelatedWork W2968001417 @default.
- W3122315717 hasRelatedWork W3122675227 @default.
- W3122315717 hasRelatedWork W3124433480 @default.
- W3122315717 hasRelatedWork W3124527199 @default.
- W3122315717 hasRelatedWork W3148068859 @default.
- W3122315717 hasRelatedWork W3183400439 @default.
- W3122315717 hasRelatedWork W3185580877 @default.
- W3122315717 isParatext "false" @default.
- W3122315717 isRetracted "false" @default.
- W3122315717 magId "3122315717" @default.
- W3122315717 workType "article" @default.