Nearly all prior work on government outsourcing has focused on the contracting firm's
incentives. This paper shows how strong incentive contracts may be insufficient to generate …

Leveraging the random assignment of over 50,000 Medicaid enrollees in New York, I
present causal evidence that narrower networks are a blunt instrument for reducing health …

Public health insurance benefits in the US are increasingly provided by private firms, despite
mixed evidence on welfare effects. We investigate the impact of privatization in Medicaid by …

We study two mechanisms used by public health insurance programs for rationing health
care: outsourcing to private managed care plans and quantity limits for prescription drugs …

A recent trend in state Medicaid programs is the transition of vulnerable populations into
Medicaid managed care (MMC) who were initially carved out of such coverage, such as …

Medicaid has increasingly transitioned from a government-run fee-for-service system (FFS)
to a managed care system (MMC) administered by private insurers. To examine the effect of …

METHODS Assessing the Impact of an Integrated Care System on the Healthcare Expenditures
of Children With Special Healthcare Nee Page 1 272 n www.ajmc.com n APRIL 2016 METHODS …

Problem definition: This paper analyzes a market design problem in Medicare Advantage
(MA), the largest risk-adjusted capitation payment program in the US healthcare market …

Public health insurance schemes in China are mostly location-based. This makes it
challenging for patients to claim reimbursement for medical expenses incurred outside of the …

Capitated, comprehensive managed care has become the standard model of healthcare
delivery for Medicaid enrollees in the United States, serving 56 million enrollees (69% of …