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

Name	File Type	Size	Last Modified
MC_rollout.dta	application/octet-stream	13.5 KB	10/13/2019 01:10:AM
MCplans_bycounty.dta	application/octet-stream	1.2 KB	10/13/2019 01:10:AM
TX_county_list.dta	application/octet-stream	5.5 KB	10/13/2019 01:10:AM
TX_county_mmc_12_months.dta	application/octet-stream	9.2 MB	10/13/2019 01:09:AM
TX_pop_county_1990.dta	application/octet-stream	19 KB	10/13/2019 01:09:AM
TXcounties_touse_9009.dta	application/octet-stream	4.9 KB	10/13/2019 01:10:AM
analysisdata_collapsed.dta	application/octet-stream	217.5 MB	10/13/2019 01:10:AM
cnty_level_eld_mort_90_98.txt	text/plain	372.9 KB	10/13/2019 01:09:AM
cntybizvars.dta	application/octet-stream	144.8 MB	10/13/2019 01:09:AM
eld_mort_by_cnty_99_04.txt	text/plain	370.8 KB	10/13/2019 01:10:AM

Project Description

Summary: 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:
      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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Published Versions

V1 [2019-10-13]

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