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100 _aDranove, David, Ody, Christopher and Starc, Amanda
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245 _aA dose of managed care: Controlling drug spending in Medicaid
260 _aAmerican Economic Journal: Applied Economics
300 _a13(1), Jan, 2021: p.170-197
520 _aWe study the effect of privatizing Medicaid drug benefits on drug prices and utilization. Drug spending would decrease by 21.3 percent if private insurers administered all drug benefits. One-third of the decrease is driven by private insurers' ability to negotiate prices with pharmacies. The remaining two-thirds is driven by the greater use of lower cost drugs, such as generics, and is only realized in states that give private insurers the flexibility to design drug benefits. Privatization does not reduce prescriptions per enrollee and spending cuts are smaller for drugs that lower medical spending. – Reproduced
650 _aGovernment policy - Health, Health regulation, Public health
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773 _aAmerican Economic Journal: Applied Economics
906 _aHEALTH SERVICES
942 _cAR