Home > Publications . Search All . Browse All . Country . Browse PSC Pubs . PSC Report Series

PSC In The News

RSS Feed icon

Buchmueller says employee wages are hit harder than corporate profits by rising health insurance costs

Davis-Kean et al. link children's self-perceptions to their math and reading achievement

Yang and Mahajan examine how hurricanes impact migration to the US

More News

Highlights

Pamela Smock elected to PAA Committee on Publications

Viewing the eclipse from ISR-Thompson

Paula Fomby to succeed Jennifer Barber as Associate Director of PSC

PSC community celebrates Violet Elder's retirement from PSC

More Highlights

Next Brown Bag

Mon, Sept 11, 2017, noon:
Welcoming of Postdoctoral Fellows: Angela Bruns, Karra Greenberg, Sarah Seelye and Emily Treleaven

Lauren Nicholas photo

Medicare Advantage? The Effects of Managed Care on Quality of Care

Publication Abstract

Download PDF versionNicholas, Lauren. 2009. "Medicare Advantage? The Effects of Managed Care on Quality of Care." PSC Research Report No. 09-672. 2 2009.

Recent policy reforms have sought to expand the role of managed care in Medicare, despite limited information about quality of care provided by Medicare managed care (MMC) plans. This paper uses a unique inpatient hospitalization dataset containing over 9 million records to analyze outpatient quality and access to care in MMC in four states from 1999 - 2004. Several econometric strategies are used to address positive selection, which explains most of the observed differences in hospitalization rates. I find little evidence that plans improve outpatient management of chronic conditions or restrict access to elective procedures, though MMC plans respond to incentives to cream-skim and to prevent acute illness, reducing rates of preventable hospitalization for acute illness by 5 to 10 admissions per 1,000 enrollees. During the study period, MMC plans in included counties on average were paid $300 per enrollee per year more than Medicare spent on the average Fee-for-Service enrollee in the county, though these additional payments do not appear to have affected quality of care or targeted sicker Medicare enrollees.

Country of focus: United States of America.

Browse | Search : All Pubs | Next