000			01676nab a2200277 c 4500
999			_c148860 _d148860
003			ES-MaIEF
005			20240130101455.0
007			ta
008			240129t2023 us ||||| |||| 00| 0|eng d
040			_aES-MaIEF _bspa _cES-MaIEF
100	1		_971377 _aBarnett, Michael L.
245		0	_aCommon practice _bspillovers from Medicare on private health care _c by Michael L. Barnett, Andrew Olenski and Adam Sacarny
500			_aResumen.
504			_aBibliografía.
520			_aEfforts to raise US health-care productivity have proceeded slowly, potentially due to the fragmentation of payment across insurers. Each insurer's efforts to improve care could influence how doctors practice for other insurers, leading to unvalued externalities. We study a randomized letter intervention by Medicare to curtail overuse of antipsychotics. The letters did not mention private insurance but reduced prescribing to these patients by 12 percent, much like the 17 percent effect in Medicare. We cannot reject one-for-one spillovers, suggesting that physicians use similar medical practice styles across insurers. Our findings establish that insurers can affect health care well outside their direct purview.
650		4	_948340 _aSALUD PUBLICA
650		4	_948069 _aPOLITICA SANITARIA
650		4	_931104 _aASISTENCIA SANITARIA
650		4	_948345 _aSANIDAD PRIVADA
650		4	_948380 _aSEGUROS DE SALUD
650		4	_942888 _aESTADOS UNIDOS
700	1		_971378 _aOlenski, Andrew
700	1		_971379 _aSacarny, Adam
773	0		_9171095 _oOP 2135/2023/3 _tAmerican Economic Journal : Economic Policy _w(IEF)134825 _x 1945-7731 _g v. 15, n. 3, August 2023, p. 65-88
942			_cART