Full Citation
Title: Missing Babies: Does Privatizing Medicaid Widen Infant Health Disparities?
Citation Type: Miscellaneous
Publication Year: 2013
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Abstract: Capitated Medicaid managed care plans have an incentive to discourage births from high-cost groups. Under competition, they also have an incentive to appear unattractive to high-cost while competing over low-cost groups, and thus outcomes for high- (low-) cost groups should relatively deteriorate (improve). We show that after Texas switched from FFS to private, capitated Medicaid plans: (1) black births|which are fifty percent more costly than Hispanics, the other main demographic group covered by Medicaid|fall significantly and (2) black birth outcomes deteriorate, whereas outcomes for Hispanics generally improve, increasing health disparities.
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Authors: Rossin-Slater, Maya; Meckel, Katherine; Kuziemko, Ilyana
Publisher: Columbia University
Data Collections: IPUMS USA
Topics: Fertility and Mortality, Health, Race and Ethnicity
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