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

Leo Turcotte (), John Robst () and Solomon Polachek
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Leo Turcotte: West Chester University

No 1803, IZA Discussion Papers from Institute of Labor Economics (IZA)

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.

Keywords: procedure utilization; health insurance; managed care (search for similar items in EconPapers)
JEL-codes: I10 (search for similar items in EconPapers)
Pages: 35 pages
Date: 2005-10
New Economics Papers: this item is included in nep-hea and nep-ias
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Published - published in: Applied Economics, 2006, 38 (13), 1513-1525

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Journal Article: Medical interventions among pregnant women in fee-for-service and managed care insurance: a propensity score analysis (2006)
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