Public and Private Options in Practice: The Military Health System.

Am Econ J Econ Policy

Headquarters, United States Army, 300 Pentagon, Washington, DC 20310.

Published: November 2023

Recent debates over health care reform, including in the context of the Military Health System (MHS) and Veterans Administration, highlight the dispute between public and private provision of health care services. Using novel data on childbirth claims from the MHS and drawing on the combination of plausibly exogenous patient moves and heterogeneity across bases in the availability of base hospitals, we identify the impact of receiving obstetrical care on versus off military bases. We find evidence that off-base care is associated with slightly greater resource intensity, but also notably better outcomes, suggesting marginal efficiency gains from care privatization.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10686321PMC
http://dx.doi.org/10.1257/pol.20210625DOI Listing

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