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Does Contracting Out Increase The Efficiency Of Government Programs Evidence From Medicaid Hmos
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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.
Book Synopsis Strategic Contracting for Health Systems and Services by : Jean Perrot
Download or read book Strategic Contracting for Health Systems and Services written by Jean Perrot and published by Transaction Publishers. This book was released on 2012 with total page 561 pages. Available in PDF, EPUB and Kindle. Book excerpt: Until the start of the new century, efforts to strengthen health systems focused solely on the public sector and health programs overseen by public bodies. The private sector was sidelined in certain countries and even banned in others. At the same time, some private-sector stakeholders readily adapted themselves to this special situation so as to avoid becoming part of a structured health system. This volume notes profound changes in health care around the world in two areas. The stakeholders involved in the health sector are increasing in number and diversifying as a result of the development of the private sector. They are also responding to a process of democratization and decentralization. These developments have been paralleled by greater functional differentiation. Various stakeholders are increasingly specializing in particular areas of the health system: service delivery, procurement, management, financing, and regulation. The interdependence of health stakeholders becomes more evident along with the increased complexity of delivery systems as these respond to changing demand. There is a compelling need to forge relationships. Such relationships are in fact emerging in developed countries and, more recently, in developing countries. They may be informal, but are increasingly organized and structured.
Download or read book Managed Competition written by and published by DIANE Publishing. This book was released on 1993-07 with total page 120 pages. Available in PDF, EPUB and Kindle. Book excerpt: Pamphlet from the vertical file.
Book Synopsis The Politics of Medicaid by : Laura Katz Olson
Download or read book The Politics of Medicaid written by Laura Katz Olson and published by Columbia University Press. This book was released on 2010-05-31 with total page 609 pages. Available in PDF, EPUB and Kindle. Book excerpt: In 1965, the United States government enacted legislation to provide low-income individuals with quality health care and related services. Initially viewed as the friendless stepchild of Medicare, Medicaid has grown exponentially since its inception, becoming a formidable force of its own. Funded jointly by the national government and each of the fifty states, the program is now the fourth most expensive item in the federal budget and the second largest category of spending for almost every state. Now, under the new, historic health care reform legislation, Medicaid is scheduled to include sixteen million more people. Laura Katz Olson, an expert on health, aging, and long-term care policy, unravels the multifaceted and perplexing puzzle of Medicaid with respect to those who invest in and benefit from the program. Assessing the social, political, and economic dynamics that have shaped Medicaid for almost half a century, she helps readers of all backgrounds understand the entrenched and powerful interests woven into the system that have been instrumental in swelling costs and holding elected officials hostage. Addressing such fundamental questions as whether patients receive good care and whether Medicaid meets the needs of the low-income population it is supposed to serve, Olson evaluates the extent to which the program is an appropriate foundation for health care reform.
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
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.
Book Synopsis Economics of Means-Tested Transfer Programs in the United States, Volume I by : Robert A. Moffitt
Download or read book Economics of Means-Tested Transfer Programs in the United States, Volume I written by Robert A. Moffitt and published by University of Chicago Press. This book was released on 2016-11-18 with total page 421 pages. Available in PDF, EPUB and Kindle. Book excerpt: Few government programs in the United States are as controversial as those designed to help the poor. From tax credits to medical assistance, the size and structure of the American safety net is an issue of constant debate. These two volumes update the earlier Means-Tested Transfer Programs in the United States with a discussion of the many changes in means-tested government programs and the results of new research over the past decade. While some programs that experienced falling outlays in the years prior to the previous volume have remained at low levels of expenditure, many others have grown, including Medicaid, the Earned Income Tax Credit, the Supplemental Nutrition Assistance Program, and subsidized housing programs. For each program, the contributors describe its origins and goals, summarize its history and current rules, and discuss recipients’ characteristics and the types of benefits they receive. This is an invaluable reference for researchers and policy makers that features detailed analyses of many of the most important transfer programs in the United States.
Book Synopsis The Invisible Safety Net by : Janet Currie
Download or read book The Invisible Safety Net written by Janet Currie and published by Princeton University Press. This book was released on 2008-11-10 with total page 214 pages. Available in PDF, EPUB and Kindle. Book excerpt: In one of the most provocative books ever published on America's social welfare system, economist Janet Currie argues that the modern social safety net is under attack. Unlike most books about antipoverty programs, Currie trains her focus not on cash welfare, which accounts for a small and shrinking share of federal expenditures on poor families with children, but on the staples of today's American welfare system: Medicaid, Food Stamps, Head Start, WIC, and public housing. These programs, Currie maintains, form an effective, if largely invisible and haphazard safety net, and yet they are the very programs most vulnerable to political attack and misunderstanding. This book highlights both the importance and the fragility of this safety net, arguing that, while not perfect, it is essential to fighting poverty. Currie demonstrates how America's safety net is threatened by growing budget deficits and by an erroneous public belief that antipoverty programs for children do not work and are riddled with fraud. By unearthing new empirical data, Currie makes the case that social programs for families with children are actually remarkably effective. She takes her argument one step further by offering specific reforms--detailed in each chapter--for improving these programs even more. The book concludes with an overview of an integrated safety net that would fight poverty more effectively and prevent children from slipping through holes in the net. (For example, Currie recommends the implementation of a benefit "debit card" that would provide benefits with less administrative burden on the recipient.) A complement to books such as Barbara Ehrenreich's bestselling Nickel and Dimed, which document the personal struggles of the working poor, The Invisible Safety Net provides a big-picture look at the kind of programs and solutions that would help ease those struggles. Comprehensive and authoritative, it will prompt a major reexamination of the current thinking on improving the lives of needy Americans.
Book Synopsis Managing Managed Care by : Institute of Medicine
Download or read book Managing Managed Care written by Institute of Medicine and published by National Academies Press. This book was released on 1997-04-21 with total page 394 pages. Available in PDF, EPUB and Kindle. Book excerpt: Managed care has produced dramatic changes in the treatment of mental health and substance abuse problems, known as behavioral health. Managing Managed Care offers an urgently needed assessment of managed care for behavioral health and a framework for purchasing, delivering, and ensuring the quality of behavioral health care. It presents the first objective analysis of the powerful multimillion-dollar accreditation industry and the key accrediting organizations. Managing Managed Care draws evidence-based conclusions about the effectiveness of behavioral health treatments and makes recommendations that address consumer protections, quality improvements, structure and financing, roles of public and private participants, inclusion of special populations, and ethical issues. The volume discusses trends in managed behavioral health care, highlighting the emerging role of the purchaser. The committee explores problems of overlap and fragmentation in the delivery of behavioral health care and discusses the issue of access, a special concern when private systems are restricted and public systems overburdened. Highly applicable to the larger health care system, this volume will be of particular interest to all stakeholders in behavioral healthâ€"federal and state policymakers, public and private purchasers, health care providers and administrators, consumers and consumer advocates, accrediting organizations, and health services researchers.
Book Synopsis The Delegated Welfare State by : Kimberly J. Morgan
Download or read book The Delegated Welfare State written by Kimberly J. Morgan and published by Oxford University Press. This book was released on 2011-10-01 with total page 322 pages. Available in PDF, EPUB and Kindle. Book excerpt: Why are so many American social programs delegated to private actors? And what are the consequences for efficiency, accountability, and the well-being of beneficiaries? The Delegated Welfare State examines the development of the American welfare state through the lens of delegation: how policymakers have avoided direct governmental provision of benefits and services, turning to non-state actors for the governance of social programs. Utilizing case studies of Medicare and the 2009-10 health care reform, Morgan and Campbell argue that the prevalence of delegated governance reflects the powerful role of interest groups in American politics, the dominance of Congress in social policymaking, and deep contradictions in American public opinion. Americans want both social programs and small government, leaving policy makers in a bind. Contracting out public programs to non-state actors masks the role of the state and enlists private allies who push for passage. Although delegated governance has been politically expedient, enabling the growth of government programs in an anti-government political climate, it raises questions about fraud, abuse, administrative effectiveness, and accountability. In probing both the causes and consequences of delegated governance, The Delegated Welfare State offers a novel interpretation of both American social welfare politics and the nature of the American state.
Book Synopsis The Future of the Public's Health in the 21st Century by : Institute of Medicine
Download or read book The Future of the Public's Health in the 21st Century written by Institute of Medicine and published by National Academies Press. This book was released on 2003-02-01 with total page 536 pages. Available in PDF, EPUB and Kindle. Book excerpt: The anthrax incidents following the 9/11 terrorist attacks put the spotlight on the nation's public health agencies, placing it under an unprecedented scrutiny that added new dimensions to the complex issues considered in this report. The Future of the Public's Health in the 21st Century reaffirms the vision of Healthy People 2010, and outlines a systems approach to assuring the nation's health in practice, research, and policy. This approach focuses on joining the unique resources and perspectives of diverse sectors and entities and challenges these groups to work in a concerted, strategic way to promote and protect the public's health. Focusing on diverse partnerships as the framework for public health, the book discusses: The need for a shift from an individual to a population-based approach in practice, research, policy, and community engagement. The status of the governmental public health infrastructure and what needs to be improved, including its interface with the health care delivery system. The roles nongovernment actors, such as academia, business, local communities and the media can play in creating a healthy nation. Providing an accessible analysis, this book will be important to public health policy-makers and practitioners, business and community leaders, health advocates, educators and journalists.
Book Synopsis Health Economics, second edition by : Frank A. Sloan
Download or read book Health Economics, second edition written by Frank A. Sloan and published by MIT Press. This book was released on 2017-01-20 with total page 839 pages. Available in PDF, EPUB and Kindle. Book excerpt: The new edition of a textbook that combines economic concepts with empirical evidence, updated with material on the Affordable Care Act and other developments. This book introduces students to the growing research field of health economics. Rather than offer details about health systems without providing a theoretical context, Health Economics combines economic concepts with empirical evidence to enhance readers' economic understanding of how health care institutions and markets function. The theoretical and empirical approaches draw heavily on the general field of applied microeconomics, but the text moves from the individual and firm level to the market level to a macroeconomic view of the role of health and health care within the economy as a whole. The book takes a global perspective, with description and analysis of institutional features of health sectors in countries around the world. This second edition has been updated to include material on the U.S. Patient Protection and Affordable Care Act, material on the expansion of health insurance in Massachusetts, and an evaluation of Oregon's Medicaid expansion via lottery. The discussion of health care and health insurance in China has been substantially revised to reflect widespread changes there. Tables and figures have been updated with newly available data. Also new to this edition is a discussion of the health economics literature published between 2010 and 2015. The text includes readings, extensive references, review and discussion questions, and exercises. A student solutions manual offers solutions to selected exercises. Downloadable supplementary material is available for instructors.
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?
Book Synopsis New Perspectives on the Role of Information in Health Economics by : Elisabeth Meyer
Download or read book New Perspectives on the Role of Information in Health Economics written by Elisabeth Meyer and published by BoD – Books on Demand. This book was released on 2009 with total page 162 pages. Available in PDF, EPUB and Kindle. Book excerpt: Does managed care reduce the costs of medical care while leaving the quality of treatment at least unchanged? What instruments should be employed to prevent risk selection? How can medical decision making be based on more rational criteria? This book consists of three major studies, each addressing a specific question related to the current debate on reforms in the health care sector. Insurers offering managed care contracts have the right to deny coverage for treatment prescribed by an insured's physician. In the US, such practices have provoked a wave of criticism against managed care. The first study shows that monitoring physicians' decisions can generally raise the efficiency of health care provision. However, insurers tend to intervene too much in medical decision making, such that consumer welfare may also decline. If premium payments do not reflect individual risk types, insurers have an incentive to practice risk selection (cream skimming). To prevent this, risk adjustment schemes have been introduced in several countries. The second study takes up the critique against conventional risk adjustment and shows that an inaccurate adjustment scheme may even have detrimental effects on social welfare. The optimal payment scheme in the model framework involves partial cost reimbursement based on the insurer's information. Watchfully waiting involves monitoring a patient's health state over time and deciding whether to undertake a medical intervention, or to continue waiting. The third study contains a formal model of the watchfully waiting process. Optimal decision rules for switching to direct medical intervention are derived. The approach could be applied to a wide range of decision problems in health economics and medicine.
Download or read book 财政学 written by Harvey S. Rosen and published by 清华大学出版社有限公司. This book was released on 2005 with total page 532 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis The Dictionary of Health Economics, Third Edition by : Anthony J. Culyer
Download or read book The Dictionary of Health Economics, Third Edition written by Anthony J. Culyer and published by Edward Elgar Publishing. This book was released on 2014-07-31 with total page 745 pages. Available in PDF, EPUB and Kindle. Book excerpt: This third edition of Anthony Culyer�s authoritative The Dictionary of Health Economics brings the material right up to date as well as adding plentiful amounts of new information, with a number of revised definitions. There are now nearly 3,000 entrie
Book Synopsis Using Data Management Techniques to Modernize Healthcare by : MA, MHA, Anthony Matthew Hopper
Download or read book Using Data Management Techniques to Modernize Healthcare written by MA, MHA, Anthony Matthew Hopper and published by CRC Press. This book was released on 2015-08-20 with total page 180 pages. Available in PDF, EPUB and Kindle. Book excerpt: Healthcare organizations with sound human resources (HR) infrastructures are better able to hire, develop, promote, and retain employees who match up well with their specific needs. Using Data Management Techniques to Modernize Healthcare explains how to modernize your HR systems through the use of artificial intelligence (AI), information technolo
