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Public and private options in practice: The military health system

By: Frakes, M.D., Gruber, J. Justicz, T.
Material type: materialTypeLabelBookPublisher: American Economic Journal: Economic Policy Description: 15(4), Nov, 2023: p.37-74.Subject(s): Health services In: American Economic Journal: Economic PolicySummary: Recent debates over health care reform, including in the context of the Military Health System (MHS) and Veterans Administration, highlight the dispute between public and private provision of health care services. Using novel data on childbirth claims from the MHS and drawing on the combination of plausibly exogenous patient moves and heterogeneity across bases in the availability of base hospitals, we identify the impact of receiving obstetrical care on versus off military bases. We find evidence that off-base care is associated with slightly greater resource intensity, but also notably better outcomes, suggesting marginal efficiency gains from care privatization.- Reproduced https://www.aeaweb.org/articles?id=10.1257/pol.20210625
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Articles Articles Indian Institute of Public Administration
15(4), Nov, 2023: p.37-74 Available AR131123

Recent debates over health care reform, including in the context of the Military Health System (MHS) and Veterans Administration, highlight the dispute between public and private provision of health care services. Using novel data on childbirth claims from the MHS and drawing on the combination of plausibly exogenous patient moves and heterogeneity across bases in the availability of base hospitals, we identify the impact of receiving obstetrical care on versus off military bases. We find evidence that off-base care is associated with slightly greater resource intensity, but also notably better outcomes, suggesting marginal efficiency gains from care privatization.- Reproduced

https://www.aeaweb.org/articles?id=10.1257/pol.20210625

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