Private Plans Competing in Publicly-Subsidized Settings: Impacts on Premiums, Provider Prices, and Quantities

Monday, June 13, 2016: 3:00 PM-4:30 PM
B21 (Stiteler Hall)
Michael Geruso

US policy has increasingly embraced the use of private managed care insurers to deliver publicly funded health benefits. This model of delivery is motivated by the notion that managed care plans can more efficiently deliver care and/or better constrain healthcare spending growth than single payer fee-for-service. This session presents three papers with new evidence on the functioning of private managed care plans in competitive settings where plan premiums are fully or partially subsidized by the government. The three papers examine how private plans set premiums, influence provider prices, and constrain or incentivize utilization across three settings: Medicare, Medicaid, and the ACA's Marketplaces.

3:00 PM
Public vs. Private Provision of Health Insurance: The Case of Medicare Advantage

Author(s): Vilsa Curto; Amy Nadya Finkelstein; Liran Einav; Jay Bhattacharya; Jon Levin

Discussant: Michael E. Chernew

3:20 PM
Are all Managed Care Plans Created Equal? Evidence from Random Plan Assignment in New York Medicaid Managed Care

Author(s): Michael Geruso; Timothy J. Layton; Jacob Wallace

Discussant: Amanda Starc

3:40 PM
Price-Linked Subsidies and Health Insurance Markups

Author(s): Mark Shepard; Sonia Jaffe

Discussant: Thomas McGuire