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

35 Pages Posted: 18 Oct 2005

See all articles by Leo Turcotte

Leo Turcotte

West Chester University of Pennsylvania

John Robst

University of South Florida

Solomon W. Polachek

State University of New York at Binghamton; National Bureau of Economic Research (NBER); IZA Institute of Labor Economics

Date Written: October 2005

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: health insurance, managed care, procedure utilization

JEL Classification: I71

Suggested Citation

Turcotte, Leo and Robst, John and Polachek, Solomon W., Medical Interventions Among Pregnant Women in Fee-for-Service and Managed Care Insurance: A Propensity Score Analysis (October 2005). IZA Discussion Paper No. 1803, Available at SSRN: https://ssrn.com/abstract=827385

Leo Turcotte

West Chester University of Pennsylvania ( email )

West Chester, PA 19383
United States

John Robst

University of South Florida ( email )

Tampa, FL 33620
United States

Solomon W. Polachek (Contact Author)

State University of New York at Binghamton ( email )

Binghamton, NY 13902-6000
United States
607-777-2144 (Phone)
607-777-4900 (Fax)

National Bureau of Economic Research (NBER) ( email )

1050 Massachusetts Avenue
Cambridge, MA 02138
United States

IZA Institute of Labor Economics ( email )

P.O. Box 7240
Bonn, D-53072
Germany

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