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Medical Interventions among Pregnant Women in Fee-for-Service and Managed Care Insurance: A Propensity Score Analysis

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  • Turcotte, Leo

    ()
    (West Chester University)

  • Robst, John

    ()
    (University of South Florida)

  • Polachek, Solomon

    ()
    (Binghamton University, New York)

Abstract

We extend prior research on the effect of managed care on the receipt of four medical interventions for pregnant women: ultrasound, induction/stimulation of birth, electronic fetal monitor, and cesarean delivery. Propensity score methods are used to account for sample selection issues regarding insurance choice. Managed care enrollees are more likely to receive an ultrasound, which may be indicative of receiving better prenatal care. Managed care plans reduce the rate of cesarean deliveries, but such limitations may be beneficial given the substantial medical evidence that cesarean deliveries are over utilized. The results indicate that insurance coverage does influence treatment intensity, but that utilization controls and provider financial incentives do not adversely affect care for pregnant women.

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Bibliographic Info

Paper provided by Institute for the Study of Labor (IZA) in its series IZA Discussion Papers with number 1803.

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Length: 35 pages
Date of creation: Oct 2005
Date of revision:
Publication status: published in: Applied Economics, 2006, 38 (13), 1513-1525
Handle: RePEc:iza:izadps:dp1803

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Keywords: procedure utilization; health insurance; managed care;

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  1. Blair, Roger D & Ginsburg, Paul B & Vogel, Ronald J, 1975. "Blue Cross-Blue Shield Administration Costs: A Study of Non-profit Health Insurers," Economic Inquiry, Western Economic Association International, vol. 13(2), pages 237-51, June.
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  8. Currie, Janet & Gruber, Jonathan, 2001. "Public health insurance and medical treatment: the equalizing impact of the Medicaid expansions," Journal of Public Economics, Elsevier, vol. 82(1), pages 63-89, October.
  9. Elias Mossialos & Joan Costa-Font & Konstantina Davaki & Konstantinos Karras, 2005. "Is there 'patient selection' in the demand for private maternity care in Greece?," Applied Economics Letters, Taylor & Francis Journals, vol. 12(1), pages 7-12.
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