Anna V. Chorniy
173 Julis Romo Rabinowitz Bld., Princeton Universi
Princeton NJ 08544
NBER Working Papers and Publications
|October 2017||Exploding Asthma and ADHD Caseloads: The Role of Medicaid Managed Care|
with Janet Currie, Lyudmyla Sonchak: w23983
In the U.S., nearly 11% of school-age children have been diagnosed with ADHD, and approximately 10% of children suffer from asthma. In the last decade, the number of children diagnosed with these conditions has inexplicably been on the rise. This increase has been concentrated in the Medicaid caseload nationwide. One of the most striking changes in Medicaid has been the transition from fee-for-service (FFS) reimbursement to Medicaid managed care (MMC), which had taken place in 80% of states by 2016. Using Medicaid claims from South Carolina, we show that this change contributed to the increase in asthma and ADHD caseloads. Empirically, we rely on variation in MMC enrollment due to a change in the “default” Medicaid plan from FFS to MMC, and on rich panel data that allow us to follow the sa...