Disruptions to the patient-provider relationship and patient utilization and outcomes: Evidence from medicaid managed care

Becky Staiger

Journal of Health Economics, 2022, vol. 81, issue C

Abstract: The patient-provider relationship is considered a cornerstone to delivering high-value healthcare. However, in Medicaid managed care settings, disruptions to this relationship are disproportionately common. In this paper, I evaluate the impact of a primary provider’s exit from a Medicaid managed care plan on adult beneficiary healthcare utilization and outcomes. Using an event study approach, I estimate a 5% decrease in the number of beneficiaries with primary care visits in the year following the exit, with slightly larger effects in terms of percentage points for patients with chronic conditions. Additionally, I observe a nearly 50% increase in the number of beneficiaries with a chronic condition who are hospitalized following a disruption.

Keywords: Medicaid managed care; Patient-provider relationship; Care continuity; Disrupted care; Chronic conditions (search for similar items in EconPapers)
JEL-codes: I12 I13 I14 I18 (search for similar items in EconPapers)
Date: 2022
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Citations: View citations in EconPapers (5)

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Persistent link: https://EconPapers.repec.org/RePEc:eee:jhecon:v:81:y:2022:i:c:s0167629621001594

DOI: 10.1016/j.jhealeco.2021.102574

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