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外包公共保险后的治疗流程:佛罗里达医疗补助的证据

Elizabeth Munnich博士 理查兹先生
卫生经济学。 八月5,2020

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虽然政治可以决定可提供哪些公共物品,但民选官员必须决定分配方法。 通常,政府直接提供公共健康保险或由私人支付费用以代表他们进行管理。 这种签约可以利用私营部门的专业知识,但也引起机构的关注。 特别是,对于私人提供公共健康保险如何影响低收入人群的医疗决策和治疗流程知之甚少。 医疗补助计划就是一个例子,该计划越来越依赖外部保险公司向参保者提供医疗服务。 我们利用佛罗里达州的一项大型立法干预措施来表明,在住院环境中,医疗补助管理的医疗机构(MMC)通常不会在短期内接受治疗。 实际上,根据这些合同,患有重症和慢性病的患者可以获得更多的住院服务,尤其是在管理护理过渡方面。 我们还记录了州政府的干预之后,MMC市场竞争加剧。

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