The effect of managed care on use of health care services: results from two contemporaneous household surveys.

Abstract:

:This paper estimates treatment effects of managed care plans on the utilization of health care services using data from two contemporaneous, nationally representative household surveys from the USA. The paper exploits recent advances in simulation-based econometrics to take the endogeneity of enrollment into managed care plans into account and identify the causal relationship between managed care enrollment and utilization. Overall, results from the two surveys are remarkably similar, lending credibility to their external validity and to the econometric model and estimation methods. There is significant evidence of self-selection into managed care plans. After accounting for selection, an individual enrolled in an health maintenance organization (HMO) plan has 2 more visits to a doctor and has 0.1 more visits to the emergency room per year than would the same individual enrolled in a nonmanaged care plan.

journal_name

Health Econ

journal_title

Health economics

authors

Deb P,Li C,Trivedi PK,Zimmer DM

doi

10.1002/hec.1096

keywords:

subject

Has Abstract

pub_date

2006-07-01 00:00:00

pages

743-60

issue

7

eissn

1057-9230

issn

1099-1050

journal_volume

15

pub_type

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