Does contracting out increase the efficiency of government programs? evidence from medicaid HMOs

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Publisher :
ISBN 13 :
Total Pages : 46 pages
Book Rating : 4.:/5 (129 download)

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Book Synopsis Does contracting out increase the efficiency of government programs? evidence from medicaid HMOs by : Mark Duggan

Download or read book Does contracting out increase the efficiency of government programs? evidence from medicaid HMOs written by Mark Duggan and published by . This book was released on 2002 with total page 46 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Does Contracting Out Increase the Efficiency of Government Programs?

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Publisher :
ISBN 13 :
Total Pages : 60 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Does Contracting Out Increase the Efficiency of Government Programs? by : Mark Gregory Duggan

Download or read book Does Contracting Out Increase the Efficiency of Government Programs? written by Mark Gregory Duggan and published by . This book was released on 2002 with total page 60 pages. Available in PDF, EPUB and Kindle. Book excerpt: State governments contract with health maintenance organizations (HMOs) to coordinate medical care for nearly 20 million Medicaid recipients. Identifying the causal effect of HMO enrollment on government spending and health care quality is difficult if, as is often the case, recipients have the option to enroll in a plan. To estimate the average effect of HMO enrollment, this paper exploits county-level mandates introduced during the last several years in the state of California that required most Medicaid recipients to enroll in a managed care plan. The empirical results demonstrate that the resulting switch from fee-for-service to managed care was associated with a substantial increase in government spending but no observable improvement in health outcomes, thus apparently reducing the efficiency of this large government program. The findings cast doubt on the hypothesis that HMO contracting has reduced the strain on government budgets.

Government by Contract

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Publisher : Harvard University Press
ISBN 13 : 9780674032088
Total Pages : 550 pages
Book Rating : 4.0/5 (32 download)

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Book Synopsis Government by Contract by : Jody Freeman

Download or read book Government by Contract written by Jody Freeman and published by Harvard University Press. This book was released on 2009-02-28 with total page 550 pages. Available in PDF, EPUB and Kindle. Book excerpt: The dramatic growth of government over the course of the twentieth century since the New Deal prompts concern among libertarians and conservatives and also among those who worry about government’s costs, efficiency, and quality of service. These concerns, combined with rising confidence in private markets, motivate the widespread shift of federal and state government work to private organizations. This shift typically alters only who performs the work, not who pays or is ultimately responsible for it. “Government by contract” now includes military intelligence, environmental monitoring, prison management, and interrogation of terrorism suspects. Outsourcing government work raises questions of accountability. What role should costs, quality, and democratic oversight play in contracting out government work? What tools do citizens and consumers need to evaluate the effectiveness of government contracts? How can the work be structured for optimal performance as well as compliance with public values? Government by Contract explains the phenomenon and scope of government outsourcing and sets an agenda for future research attentive to workforce capacities as well as legal, economic, and political concerns.

Contracting Out Government Services

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ISBN 13 : 9780732606633
Total Pages : 68 pages
Book Rating : 4.6/5 (66 download)

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Book Synopsis Contracting Out Government Services by : Graeme Arthur Hodge

Download or read book Contracting Out Government Services written by Graeme Arthur Hodge and published by . This book was released on 1996 with total page 68 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Mastering the Risky Business of Public-Private Partnerships in Infrastructure

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Publisher : International Monetary Fund
ISBN 13 : 1513576569
Total Pages : 61 pages
Book Rating : 4.5/5 (135 download)

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Book Synopsis Mastering the Risky Business of Public-Private Partnerships in Infrastructure by : Manal Fouad

Download or read book Mastering the Risky Business of Public-Private Partnerships in Infrastructure written by Manal Fouad and published by International Monetary Fund. This book was released on 2021-05-10 with total page 61 pages. Available in PDF, EPUB and Kindle. Book excerpt: Investment in infrastructure can be a driving force of the economic recovery in the aftermath of the COVID-19 pandemic in the context of shrinking fiscal space. Public-private partnerships (PPP) bring a promise of efficiency when carefully designed and managed, to avoid creating unnecessary fiscal risks. But fiscal illusions prevent an understanding the sources of fiscal risks, which arise in all infrastructure projects, and that in PPPs present specific characteristics that need to be addressed. PPP contracts are also affected by implicit fiscal risks when they are poorly designed, particularly when a government signs a PPP contract for a project with no financial sustainability. This paper reviews the advantages and inconveniences of PPPs, discusses the fiscal illusions affecting them, identifies a diversity of fiscal risks, and presents the essentials of PPP fiscal risk management.

Competition, Choice, and Incentives in Government Programs

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Publisher : Rowman & Littlefield
ISBN 13 : 9780742552135
Total Pages : 502 pages
Book Rating : 4.5/5 (521 download)

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Book Synopsis Competition, Choice, and Incentives in Government Programs by : Albert Morales

Download or read book Competition, Choice, and Incentives in Government Programs written by Albert Morales and published by Rowman & Littlefield. This book was released on 2006 with total page 502 pages. Available in PDF, EPUB and Kindle. Book excerpt: Since the 1980s, the language used around market-based government has muddied its meaning and polarized its proponents and critics, making the topic politicized and controversial. Competition, Choice, and Incentives in Government Programs hopes to reframe competing views of market-based government so it is seen not as an ideology but rather as a fact-based set of approaches for managing government services and programs more efficiently and effectively.

What We Owe Each Other

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Publisher : Princeton University Press
ISBN 13 : 069120764X
Total Pages : 256 pages
Book Rating : 4.6/5 (912 download)

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Book Synopsis What We Owe Each Other by : Minouche Shafik

Download or read book What We Owe Each Other written by Minouche Shafik and published by Princeton University Press. This book was released on 2022-08-23 with total page 256 pages. Available in PDF, EPUB and Kindle. Book excerpt: From one of the leading policy experts of our time, an urgent rethinking of how we can better support each other to thrive Whether we realize it or not, all of us participate in the social contract every day through mutual obligations among our family, community, place of work, and fellow citizens. Caring for others, paying taxes, and benefiting from public services define the social contract that supports and binds us together as a society. Today, however, our social contract has been broken by changing gender roles, technology, new models of work, aging, and the perils of climate change. Minouche Shafik takes us through stages of life we all experience—raising children, getting educated, falling ill, working, growing old—and shows how a reordering of our societies is possible. Drawing on evidence and examples from around the world, she shows how every country can provide citizens with the basics to have a decent life and be able to contribute to society. But we owe each other more than this. A more generous and inclusive society would also share more risks collectively and ask everyone to contribute for as long as they can so that everyone can fulfill their potential. What We Owe Each Other identifies the key elements of a better social contract that recognizes our interdependencies, supports and invests more in each other, and expects more of individuals in return. Powerful, hopeful, and thought-provoking, What We Owe Each Other provides practical solutions to current challenges and demonstrates how we can build a better society—together.

Scott on Outsourcing

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Publisher : Aspen Publishers Online
ISBN 13 : 0735561788
Total Pages : 1105 pages
Book Rating : 4.7/5 (355 download)

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Book Synopsis Scott on Outsourcing by : Michael Dennis Scott

Download or read book Scott on Outsourcing written by Michael Dennis Scott and published by Aspen Publishers Online. This book was released on 2006 with total page 1105 pages. Available in PDF, EPUB and Kindle. Book excerpt: It's been going on for decades. But today, more firms than ever are using outsourcing to help cut costs, improve business processes, and focus on their core business. The most successful of these companies are the best informed. Whether you're just

Transparency in Government Operations

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Publisher : International Monetary Fund
ISBN 13 : 155775697X
Total Pages : 50 pages
Book Rating : 4.5/5 (577 download)

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Book Synopsis Transparency in Government Operations by : Mr.J. D. Craig

Download or read book Transparency in Government Operations written by Mr.J. D. Craig and published by International Monetary Fund. This book was released on 1998-02-03 with total page 50 pages. Available in PDF, EPUB and Kindle. Book excerpt: Transparency in government operations is widely regarded as an important precondition for macroeconomic fiscal sustainability, good governance, and overall fiscal rectitude. Notably, the Interim Committee, at its April and September 1996 meetings, stressed the need for greater fiscal transparency. Prompted by these concerns, this paper represents a first attempt to address many of the aspects of transparency in government operations. It provides an overview of major issues in fiscal transparency and examines the IMF's role in promoting transparency in government operations.

Contracting Out--successes and Failures

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Publisher :
ISBN 13 :
Total Pages : 200 pages
Book Rating : 4.0/5 (18 download)

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Book Synopsis Contracting Out--successes and Failures by : United States. Congress. House. Committee on Government Reform and Oversight. Subcommittee on Civil Service

Download or read book Contracting Out--successes and Failures written by United States. Congress. House. Committee on Government Reform and Oversight. Subcommittee on Civil Service and published by . This book was released on 1998 with total page 200 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Contracting Out/government Competition

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Publisher :
ISBN 13 :
Total Pages : 280 pages
Book Rating : 4.:/5 (327 download)

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Book Synopsis Contracting Out/government Competition by : United States. Congress. House. Committee on Small Business. Subcommittee on General Oversight and Minority Enterprise

Download or read book Contracting Out/government Competition written by United States. Congress. House. Committee on Small Business. Subcommittee on General Oversight and Minority Enterprise and published by . This book was released on 1980 with total page 280 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Contracting Out

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Publisher :
ISBN 13 :
Total Pages : 48 pages
Book Rating : 4.:/5 (31 download)

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Book Synopsis Contracting Out by : R. Mark Musell

Download or read book Contracting Out written by R. Mark Musell and published by . This book was released on 1987 with total page 48 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Unproductive Public Expenditures

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Publisher : International Monetary Fund
ISBN 13 : 1557755418
Total Pages : 56 pages
Book Rating : 4.5/5 (577 download)

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Book Synopsis Unproductive Public Expenditures by : International Monetary Fund

Download or read book Unproductive Public Expenditures written by International Monetary Fund and published by International Monetary Fund. This book was released on 2005-04-04 with total page 56 pages. Available in PDF, EPUB and Kindle. Book excerpt: Public expenditure policy, together with efforts to raise revenue,is at the core of efficient and equitable adjustment. Public expenditureproductivity has critical implications for fiscal adjustment, particularly as the competition for limited public resources intensifies.By providing a framework for defining and analyzing public expenditureproductivity and unproductive expenditures, this pamphlet discusseshow economic policymakers may approach these issues.

Outsourcing Management Functions for the Acquisition of Federal Facilities

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Publisher : National Academies Press
ISBN 13 : 0309072670
Total Pages : 149 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis Outsourcing Management Functions for the Acquisition of Federal Facilities by : National Research Council

Download or read book Outsourcing Management Functions for the Acquisition of Federal Facilities written by National Research Council and published by National Academies Press. This book was released on 2001-01-20 with total page 149 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this study outsourcing is defined as the organizational practice of contracting for services from an external entity while retaining control over assets and oversight of the services being outsourced. In the 1980s, a number of factors led to a renewed interest in outsourcing. For private sector organizations, outsourcing was identified as a strategic component of business process reengineering-an effort to streamline an organization and increase its profitability. In the public sector, growing concern about the federal budget deficit, the continuing long-term fiscal crisis of some large cities, and other factors accelerated the use of privatization measures (including outsourcing for services) as a means of increasing the efficiency of government.

The Law and Economics of Federalism

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Publisher : Edward Elgar Publishing
ISBN 13 : 1786433605
Total Pages : 279 pages
Book Rating : 4.7/5 (864 download)

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Book Synopsis The Law and Economics of Federalism by : Jonathan Klick

Download or read book The Law and Economics of Federalism written by Jonathan Klick and published by Edward Elgar Publishing. This book was released on 2017-01-27 with total page 279 pages. Available in PDF, EPUB and Kindle. Book excerpt: This unique volume takes a primarily empirical perspective on the law and economics of federalism. Using cross jurisdiction variation, the specially commissioned chapters examine the effects of various state experiments in areas such as crime, welfare, consumer protection, and a host of other areas. Although legal scholars have talked about states as laboratories for decades, rarely has the law and economics literature treated the topic of federalism empirically in such a systematic and useful way.

Performance and Public Value in the ÔHollow StateÕ

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Publisher : Edward Elgar Publishing
ISBN 13 : 1802200398
Total Pages : 160 pages
Book Rating : 4.8/5 (22 download)

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Book Synopsis Performance and Public Value in the ÔHollow StateÕ by : LeRoux, Kelly

Download or read book Performance and Public Value in the ÔHollow StateÕ written by LeRoux, Kelly and published by Edward Elgar Publishing. This book was released on 2021-11-12 with total page 160 pages. Available in PDF, EPUB and Kindle. Book excerpt: This innovative book sheds light on two key questions at the forefront of government-nonprofit partnerships: How are nonprofits performing? And does the involvement of nonprofits in a public service add public value?

Charter School City

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Publisher : University of Chicago Press
ISBN 13 : 022669478X
Total Pages : 320 pages
Book Rating : 4.2/5 (266 download)

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Book Synopsis Charter School City by : Douglas N. Harris

Download or read book Charter School City written by Douglas N. Harris and published by University of Chicago Press. This book was released on 2020-07-15 with total page 320 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the wake of the tragedy and destruction that came with Hurricane Katrina in 2005, public schools in New Orleans became part of an almost unthinkable experiment—eliminating the traditional public education system and completely replacing it with charter schools and school choice. Fifteen years later, the results have been remarkable, and the complex lessons learned should alter the way we think about American education. New Orleans became the first US city ever to adopt a school system based on the principles of markets and economics. When the state took over all of the city’s public schools, it turned them over to non-profit charter school managers accountable under performance-based contracts. Students were no longer obligated to attend a specific school based upon their address, allowing families to act like consumers and choose schools in any neighborhood. The teacher union contract, tenure, and certification rules were eliminated, giving schools autonomy and control to hire and fire as they pleased. In Charter School City, Douglas N. Harris provides an inside look at how and why these reform decisions were made and offers many surprising findings from one of the most extensive and rigorous evaluations of a district school reform ever conducted. Through close examination of the results, Harris finds that this unprecedented experiment was a noteworthy success on almost every measurable student outcome. But, as Harris shows, New Orleans was uniquely situated for these reforms to work well and that this market-based reform still required some specific and active roles for government. Letting free markets rule on their own without government involvement will not generate the kinds of changes their advocates suggest. Combining the evidence from New Orleans with that from other cities, Harris draws out the broader lessons of this unprecedented reform effort. At a time when charter school debates are more based on ideology than data, this book is a powerful, evidence-based, and in-depth look at how we can rethink the roles for governments, markets, and nonprofit organizations in education to ensure that America’s schools fulfill their potential for all students.