Hospital Selective Contracting without Consumer Choice: What Can We Learn from Medi-Cal?.
In the selective contracting era, consumer choice has generally been absent in most state Medicaid programs, including California’s (called Medi-Cal). In a setting where beneficiary exit is not a threat, a large payer may have both the incentives and the ability to exercise undue market power, poten...
| Main Authors: | , , , |
|---|---|
| Format: | |
| Language: | English |
| Published: |
2003
|
| Online Access: | http://ezproxy.villanova.edu/login?url=https://digital.library.villanova.edu/Item/vudl:174016 |
| id |
vudl:174016 |
|---|---|
| record_format |
vudl |
| institution |
Villanova University |
| collection |
Digital Library |
| modeltype_str_mv |
vudl-system:ResourceCollection vudl-system:CollectionModel vudl-system:CoreModel |
| datastream_str_mv |
THUMBNAIL STRUCTMAP AUDIT AGENTS PARENT-QUERY LEGACY-METS DC LICENSE MEMBER-LIST-RAW PROCESS-MD PARENT-LIST-RAW RELS-EXT MEMBER-QUERY PARENT-LIST |
| hierarchytype |
|
| hierarchy_all_parents_str_mv |
vudl:173991 vudl:172968 vudl:641262 vudl:3 vudl:1 |
| sequence_vudl_173991_str |
0000000009 |
| hierarchy_top_id |
vudl:641262 |
| hierarchy_top_title |
Villanova Faculty Publications |
| fedora_parent_id_str_mv |
vudl:173991 |
| hierarchy_first_parent_id_str |
vudl:174016 |
| hierarchy_parent_id |
vudl:173991 |
| hierarchy_parent_title |
Bamezai Anil |
| hierarchy_sequence_sort_str |
0000000009 |
| hierarchy_sequence |
0000000009 |
| spelling |
Hospital Selective Contracting without Consumer Choice: What Can We Learn from Medi-Cal?. Bamezai, Anil. Melnick, Glenn A. Mann, Joyce M. Zwanziger, Jack. In the selective contracting era, consumer choice has generally been absent in most state Medicaid programs, including California’s (called Medi-Cal). In a setting where beneficiary exit is not a threat, a large payer may have both the incentives and the ability to exercise undue market power, potentially exposing an already vulnerable population to further harm. The analyses presented here of Medi-Cal contracting data, however, do not yield compelling evidence in favor of the undue market power hypothesis. Instead, hospital competition appears to explain with greater consistency why certain hospitals choose to contract with Medi-Cal while others do not, the trends in inpatient prices paid by Medi-Cal over time, and the effect of price competition on service cutbacks, such as emergency room closures. 2003 Villanova Faculty Authorship vudl:174016 Journal of Policy Analysis and Management 22(1), 2003, 65–84. en |
| dc.title_txt_mv |
Hospital Selective Contracting without Consumer Choice: What Can We Learn from Medi-Cal?. |
| dc.creator_txt_mv |
Bamezai, Anil. Melnick, Glenn A. Mann, Joyce M. Zwanziger, Jack. |
| dc.description_txt_mv |
In the selective contracting era, consumer choice has generally been absent in most state Medicaid programs, including California’s (called Medi-Cal). In a setting where beneficiary exit is not a threat, a large payer may have both the incentives and the ability to exercise undue market power, potentially exposing an already vulnerable population to further harm. The analyses presented here of Medi-Cal contracting data, however, do not yield compelling evidence in favor of the undue
market power hypothesis. Instead, hospital competition appears to explain with greater consistency why certain hospitals choose to contract with Medi-Cal while others do not, the trends in inpatient prices paid by Medi-Cal over time, and the effect of price competition on service cutbacks, such as emergency room closures. |
| dc.date_txt_mv |
2003 |
| dc.format_txt_mv |
Villanova Faculty Authorship |
| dc.identifier_txt_mv |
vudl:174016 |
| dc.source_txt_mv |
Journal of Policy Analysis and Management 22(1), 2003, 65–84. |
| dc.language_txt_mv |
en |
| author |
Bamezai, Anil. Melnick, Glenn A. Mann, Joyce M. Zwanziger, Jack. |
| spellingShingle |
Bamezai, Anil. Melnick, Glenn A. Mann, Joyce M. Zwanziger, Jack. Hospital Selective Contracting without Consumer Choice: What Can We Learn from Medi-Cal?. |
| author_facet |
Bamezai, Anil. Melnick, Glenn A. Mann, Joyce M. Zwanziger, Jack. |
| dc_source_str_mv |
Journal of Policy Analysis and Management 22(1), 2003, 65–84. |
| format |
Villanova Faculty Authorship |
| author_sort |
Bamezai, Anil. |
| dc_date_str |
2003 |
| dc_title_str |
Hospital Selective Contracting without Consumer Choice: What Can We Learn from Medi-Cal?. |
| description |
In the selective contracting era, consumer choice has generally been absent in most state Medicaid programs, including California’s (called Medi-Cal). In a setting where beneficiary exit is not a threat, a large payer may have both the incentives and the ability to exercise undue market power, potentially exposing an already vulnerable population to further harm. The analyses presented here of Medi-Cal contracting data, however, do not yield compelling evidence in favor of the undue
market power hypothesis. Instead, hospital competition appears to explain with greater consistency why certain hospitals choose to contract with Medi-Cal while others do not, the trends in inpatient prices paid by Medi-Cal over time, and the effect of price competition on service cutbacks, such as emergency room closures. |
| title |
Hospital Selective Contracting without Consumer Choice: What Can We Learn from Medi-Cal?. |
| title_full |
Hospital Selective Contracting without Consumer Choice: What Can We Learn from Medi-Cal?. |
| title_fullStr |
Hospital Selective Contracting without Consumer Choice: What Can We Learn from Medi-Cal?. |
| title_full_unstemmed |
Hospital Selective Contracting without Consumer Choice: What Can We Learn from Medi-Cal?. |
| title_short |
Hospital Selective Contracting without Consumer Choice: What Can We Learn from Medi-Cal?. |
| title_sort |
hospital selective contracting without consumer choice: what can we learn from medi-cal?. |
| publishDate |
2003 |
| normalized_sort_date |
2003-01-01T00:00:00Z |
| language |
English |
| collection_title_sort_str |
hospital selective contracting without consumer choice: what can we learn from medi-cal?. |
| fgs.createdBy_txt_mv |
fedoraAdmin |
| fgs.type_txt_mv |
http://www.w3.org/ns/ldp#RDFSource http://www.w3.org/ns/ldp#Resource http://fedora.info/definitions/v4/repository#Container http://www.w3.org/ns/ldp#Container http://www.w3.org/ns/ldp#BasicContainer http://fedora.info/definitions/v4/repository#Resource |
| fgs.label_txt_mv |
Hospital Selective Contracting without Consumer Choice: What Can We Learn from Medi-Cal?. |
| fgs.state_txt_mv |
Active |
| fgs.ownerId_txt_mv |
diglibEditor |
| relsext.sortOn_txt_mv |
title |
| relsext.sequence_txt_mv |
vudl:173991#9 |
| fgs.lastModifiedDate_txt_mv |
2021-04-12T19:03:01.345Z |
| relsext.hasModel_txt_mv |
http://hades.library.villanova.edu:8080/rest/vudl-system:ResourceCollection http://hades.library.villanova.edu:8080/rest/vudl-system:CollectionModel http://hades.library.villanova.edu:8080/rest/vudl-system:CoreModel |
| relsext.hasLegacyURL_txt_mv |
http://digital.library.villanova.edu/Villanova%20Digital%20Collection/Faculty%20Fulltext/Bamezai%20Anil/BamezaiAnil-923e88b0-6aee-476b-bd19-8de7bf450427.xml |
| relsext.isMemberOf_txt_mv |
http://hades.library.villanova.edu:8080/rest/vudl:173991 |
| relsext.itemID_txt_mv |
oai:digital.library.villanova.edu:vudl:174016 |
| fgs.lastModifiedBy_txt_mv |
fedoraAdmin |
| fgs.createdDate_txt_mv |
2013-01-22T03:23:16.704Z |
| has_order_str |
no |
| agent.name_txt_mv |
Falvey Memorial Library, Villanova University AAD |
| license.mdRef_str |
http://digital.library.villanova.edu/copyright.html |
| license_str |
protected |
| has_thumbnail_str |
true |
| THUMBNAIL_contentDigest_digest_str |
203c69e18f4f46c81e9892448d2c07cd |
| first_indexed |
2014-01-11T22:49:18Z |
| last_indexed |
2021-04-12T19:14:07Z |
| _version_ |
1785892950075506688 |
| subpages |