The Privatization of American Public Health Insurance: A Comparative Analysis of Obstetric Outcomes and Costs in Medicaid Managed Care Versus Private Insurance
Year: 2024
Type: dissertation
Study design: Observational Study
Abstract: Over two-thirds of Medicaid beneficiaries have received assistance from Managed Care Organizations (MCOs), mostly for-profit entities operating under a capitated payment model in 2024.State Medicaid programs have widely adopted this Medicaid Managed Care (MMC) model, embracing it as the ultimate "magic bullet" for reducing Medicaid costs and improving patient outcomes.This study scrutinized these assumptions by evaluating whether this marketplace-based framework--traditionally practical for privately insured individuals who typically have higher purchasing power--is equally suitable for Medicaid patients, who often have higher health risks but minimal purchasing power.Given their unified for-profit, capitated framework, using 2020-2021 obstetric data from Washington Hospital Center in DC, this study assessed childbirth
Author: Liaqat, Rehman
Language: English
Subfield: Economics and Econometrics
Domain: Social Sciences
Open Access status: green
Funder: LOEWE Zentrum AdRIA
OpenAlex ID: W7005436038