________________________________ Health Policy Workshop Thursday, December 18, 2014 Please join us for the next Health Policy Workshop with: Boris Vabson Visiting Scholar at TDI, PhD Candidate at Wharton School, University of Pennsylvania, & Research Fellow at NBER and Leonard Davis Institute [https://gallery.mailchimp.com/2169b35981a23520f6bd4531f/images/aae02fce-094d-4110-8362-2e2327a8a289.jpg] Is Managed Care Efficiency-Improving and do Patients Benefit? Evidence from New York Medicaid Date & Time: Thursday, December 18 from 12:00 - 1:15 PM Location: Class of 1930 Room, Nelson A. Rockefeller Center Download to Calendar: Click Here <http://dartmouth.us6.list-manage1.com/track/click?u=2169b35981a23520f6bd4531f&id=9fddabf111&e=3e343faf01> Abstract The extent to which managed care produces efficiency gains (relative to fee-for-service) is not been well-understood; further, the extent to which incomplete contracting and imperfect competition could limit the pass-through of efficiency gains to patients and governments is not well-identified. I examine these questions by looking to disabled Medicaid recipients in New York State, many of whom were involuntarily shifted from fee-for-service to managed care provision through enrollment mandates, and all of whom were automatically shifted from managed care to fee-for-service at the age of 65; for identification, I exploit these involuntary shifts between Medicaid managed care & fee-for-service. I also leverage unique administrative data, which longitudinally tracks individual hospital utilization across the fee-for-service and managed care settings. I find no evidence that managed care yields efficiency improvements and instead find evidence of increased inpatient hospital utilization, reduced preventative care, and reduced access to outpatient providers. Furthermore, consistent with existing contracting theory, I find that plans shift costs to medical services that are situated outside the scope of plan contracts and which remain the financial responsibility of New York State. Biography Boris Vabson is a Ph.D. Candidate in Applied Economics at Wharton and a Pre-Doctoral Research Fellow at NBER. His research deals with the dynamics of privatization within Medicaid and Medicare, as well as the treatment of dual-eligibles in these programs. Additional research interests include the impact of competition within health care and the dynamics of health insurance exchanges. Boris received his A.B. in Economics and Mathematics from Dartmouth College, graduating Phi Beta Kappa and Magna Cum Laude, with High Honors in Economics. [https://gallery.mailchimp.com/2169b35981a23520f6bd4531f/images/TDI_Logo_4C366bd3e25cfb9.jpg] [https://gallery.mailchimp.com/2169b35981a23520f6bd4531f/images/1d607cd4-db3f-4b14-b799-a40610c594f5.jpg] Copyright © 2014 The Dartmouth Institute for Health Policy and Clinical Practice, All rights reserved. You are receiving this email because you are a faculty member, staff member, or student at The Dartmouth Institute for Health Policy and Clinical Practice. Our mailing address is: The Dartmouth Institute for Health Policy and Clinical Practice 35 Centerra Pkwy Lebanon, NH 03766 Add us to your address book<http://dartmouth.us6.list-manage1.com/vcard?u=2169b35981a23520f6bd4531f&id=32a80e6332> unsubscribe from this list<http://dartmouth.us6.list-manage.com/unsubscribe?u=2169b35981a23520f6bd4531f&id=32a80e6332&e=3e343faf01&c=90ba26ed55> update subscription preferences<http://dartmouth.us6.list-manage2.com/profile?u=2169b35981a23520f6bd4531f&id=32a80e6332&e=3e343faf01> [Email Marketing Powered by MailChimp]<http://www.mailchimp.com/monkey-rewards/?utm_source=freemium_newsletter&utm_medium=email&utm_campaign=monkey_rewards&aid=2169b35981a23520f6bd4531f&afl=1> ? ######################################################################## To unsubscribe from the ECONOMICS-SEMINARS list, click the following link: https://listserv.dartmouth.edu/scripts/wa.exe?SUBED1=ECONOMICS-SEMINARS