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 The leading web portal for pharmacy resources, news, education and careers July 23, 2017
Pharmacy Choice - Pharmaceutical News - Reports by D. Pelech and Co-Researchers Describe Recent Advances in Medicare and Medicaid (Dropped out or pushed out? Insurance market exit and... - July 23, 2017

Pharmacy News Article

 5/19/17 - Reports by D. Pelech and Co-Researchers Describe Recent Advances in Medicare and Medicaid (Dropped out or pushed out? Insurance market exit and...

Reports by D. Pelech and Co-Researchers Describe Recent Advances in Medicare and Medicaid (Dropped out or pushed out? Insurance market exit and provider market power in Medicare Advantage)

By a News Reporter-Staff News Editor at Insurance Weekly News A new study on Medicare and Medicaid is now available. According to news reporting originating from Washington, District of Columbia, by VerticalNews editors, the research stated, "This paper explores how provider and insurer market power affect which markets an insurer chooses to operate in. A 2011 policy change required that certain private insurance plans in Medicare form provider networks de novo; in response, insurers cancelled two-thirds of the affected plans."

Our news editors obtained a quote from the research, "Using detailed data on pre-policy provider and insurer market structure, I compare markets where insurers built networks to those they exited. Overall, insurers in the most concentrated hospital and physician markets were 9 and 13 percentage points more likely to exit, respectively, than those in the least concentrated markets. Conversely, insurers with more market power were less likely to exit than those with less, and an insurer's market power had the largest effect on exit in concentrated hospital markets."

According to the news editors, the research concluded: "These findings suggest that concentrated provider markets contribute to insurer exit and that insurers with less market power have more difficulty surviving in concentrated provider markets. ."

For more information on this research see: Dropped out or pushed out? Insurance market exit and provider market power in Medicare Advantage. Journal of Health Economics, 2017;51():98-112. Journal of Health Economics can be contacted at: Elsevier Science Bv, PO Box 211, 1000 Ae Amsterdam, Netherlands. (Elsevier - www.elsevier.com; Journal of Health Economics - www.journals.elsevier.com/journal-of-health-economics/)

The news editors report that additional information may be obtained by contacting D. Pelech, Congress Budget Off, Washington, DC 20515, United States.

Keywords for this news article include: Washington, District of Columbia, United States, North and Central America, Medicare and Medicaid, Health Policy, Medicare, Hospital.

Our reports deliver fact-based news of research and discoveries from around the world. Copyright 2017, NewsRx LLC



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