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Bamezai, Anil; Melnick, Glenn A.; Mann, Joyce M.; Zwanziger, Jack – Journal of Policy Analysis and Management, 2003
In the selective contracting era, consumer choice has generally been absent in most state Medicaid programs, including California's (called Medi-Cal). In a setting where beneficiary exit is not a threat, a large payer may have both the incentives and the ability to exercise undue market power, potentially exposing an already vulnerable population…
Descriptors: Competition, Hospitals, Consumer Education, Statistical Analysis