Replication data for: Does Managed Care Widen Infant Health Disparities? Evidence from Texas Medicaid
Principal Investigator(s): View help for Principal Investigator(s) Ilyana Kuziemko; Katherine Meckel; Maya Rossin-Slater
Version: View help for Version V1
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Project Description
Summary:
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Medicaid programs increasingly finance competing, capitated managed care plans rather than administering fee-for-service (FFS) programs. We study how the transition from FFS to managed care affects high- and low-cost infants (blacks and Hispanics, respectively). We find that black-Hispanic disparities widen—e.g., black mortality and preterm birth rates increase by 15 percent and 7 percent, respectively, while Hispanic mortality and preterm birth rates decrease by 22 percent and 7 percent, respectively. Our results are consistent with a risk-selection model whereby capitation incentivizes competing plans to offer better (worse) care to low- (high-) cost clients to retain (avoid) them in the future.
Scope of Project
JEL Classification:
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H75 State and Local Government: Health; Education; Welfare; Public Pensions
I12 Health Behavior
I18 Health: Government Policy; Regulation; Public Health
I38 Welfare, Well-Being, and Poverty: Government Programs; Provision and Effects of Welfare Programs
J13 Fertility; Family Planning; Child Care; Children; Youth
J15 Economics of Minorities, Races, Indigenous Peoples, and Immigrants; Non-labor Discrimination
H75 State and Local Government: Health; Education; Welfare; Public Pensions
I12 Health Behavior
I18 Health: Government Policy; Regulation; Public Health
I38 Welfare, Well-Being, and Poverty: Government Programs; Provision and Effects of Welfare Programs
J13 Fertility; Family Planning; Child Care; Children; Youth
J15 Economics of Minorities, Races, Indigenous Peoples, and Immigrants; Non-labor Discrimination
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