提高保险质量的价值:从长期的医疗补助消耗的证据
1Department of Economics, Michigan State University, United States of America.
Journal of health economics
|February 15, 2024
概括
美国公共医疗保险越来越多地由私人公司管理. 研究表明,在纽约被分配到私人医疗补助计划的婴儿不太可能退出注册,这表明计划质量更高.
科学领域:
- 卫生经济学 卫生经济学
- 公共卫生政策 公共卫生政策
- 行为经济学是一种行为经济学.
背景情况:
- 美国医疗保健系统越来越多地利用私人实体提供公共医疗保险.
- 了解对受益者的福利影响对于政策评估至关重要.
研究的目的:
- 评估管理公共医疗保险的私营公司对福利的影响.
- 分析受益人对医疗补助计划中不同类型保险计划的反应.
主要方法:
- 通过分析受益人消耗率,利用了一个揭示的偏好框架.
- 在纽约州利用了基于出生时出生体重的Medicaid受益人的准随机分配.
主要成果:
- 最初被分配给私人医疗补助计划的婴儿与公共计划中的婴儿相比,其后的消耗率较低.
- 有关证据表明,提高节目质量是减少消耗的驱动因素.
结论:
- 公共医疗保险的私人管理,特别是医疗补助,可能会改善受益人保留率.
- 减少消耗表明受益者认为私人计划的质量更高,这需要进一步调查质量指标.
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