An evaluation of Medicaid selective contracting in California.

Does Contracting Out Increase the Efficiency of Government Programs? Evidence From Medicaid HMOs

State governments contract with health maintenance organizations (HMOs) to coordinate medical care for nearly 20 million Medicaid recipients. Identifying the causal effect of HMO enrollment on government spending and health care quality is difficult if, as is often the case, recipients have the option to enroll in a plan. To estimate the average effect of HMO enrollment, this paper exploits cou...

fiscal pressures Uncompensated care : hospitals ' responses to Zwanziger

This DataWatch examines the impact of hospital competition, the Medicare prospective payment system (PPS), and Medi-Cal selective contracting on the provision of uncompensated care by private hospitals in California during 1980-1989. It finds that hospitals subject to more intense competition and greater f iscal pressure f rom Medicare and Medi-Cal reduced their provision of uncompensated care ...

Uncompensated Care: Hospitals' Responses To

This DataWatch examines the impact of hospital competition, the Medicare prospective payment system (PPS), and Medi-Cal selective contracting on the provision of uncompensated care by private hospitals in California during 1980-1989. It finds that hospitals subject to more intense competition and greater f iscal pressure f rom Medicare and Medi-Cal reduced their provision of uncompensated care ...

Health Affairs fiscal pressures Uncompensated care : hospitals ' responses to

This DataWatch examines the impact of hospital competition, the Medicare prospective payment system (PPS), and Medi-Cal selective contracting on the provision of uncompensated care by private hospitals in California during 1980-1989. It finds that hospitals subject to more intense competition and greater f iscal pressure f rom Medicare and Medi-Cal reduced their provision of uncompensated care ...

Physician response to selective contracting in California.