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The Dynamic Fiscal Costs of Outsourcing Health Insurance: Evidence from Medicaid (PDF)
National Bureau of Economic Research [NBER]; purchase required 
Dec. 30, 2024 31 pages. "Using a national administrative database, [the authors] identify county-level private plan enrollment mandates and exploit them as an instrument for individuals' transition to managed care plans. These transitions, while initially slightly reducing fiscal costs, lead to a continuous increase in Medicaid's costs over subsequent years. Counties subject to mandates experience a 9.8% higher cost four years post-mandate compared to those without mandates." MORE >> |
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