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Health Insurance Expansions and Provider Behavior: Evidence from Substance Use Disorder Providers / Johanna Catherine Maclean, Ioana Popovici, Elisheva Rachel Stern.

NBER Working papers Available online

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Format:
Book
Author/Creator:
Maclean, Johanna Catherine.
Contributor:
National Bureau of Economic Research.
Popovici, Ioana.
Stern, Elisheva Rachel.
Series:
Working Paper Series (National Bureau of Economic Research) no. w23094.
NBER working paper series no. w23094
Language:
English
Physical Description:
1 online resource: illustrations (black and white);
Other Title:
Health Insurance Expansions and Provider Behavior
Place of Publication:
Cambridge, Mass. National Bureau of Economic Research 2017.
Summary:
We examine how substance use disorder (SUD) treatment providers respond to private insurance expansions induced by state equal coverage ('parity') laws for SUD treatment vis-à-vis general healthcare services. Economic theory suggests that such laws will lead to changes in provider behaviors. We use data on licensed specialty SUD treatment providers in the United States between 1997 and 2010 in a differences-in-differences analysis. During this period, 12 states implemented laws that require equality in coverage for SUD treatment. Following the passage of a state parity law we find that providers are less likely to participate in public markets, are less likely to offer price discounts to patients, and increase the quantity of healthcare provided. Further we find evidence that treatment intensity declines following passage of a parity law and heterogeneity in effects across ownership status.
Notes:
Print version record
January 2017.

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