The impact of the managed care backlash on health care spending
利用1990年代管理式医疗反弹期间各州法规的通过以及管理式医疗强度的地理差异，研究发现限制管理式医疗会显著增加医院支出，但对死亡率没有影响。
Abstract The health spending slowdown associated with the managed care revolution in the 1990s suggests that managed care may have been successful in controlling health care spending. I exploit the passage of state regulation during the “managed care backlash” as well as geographic variation in managed care intensity to measure the impact of managed care on spending. I find that restricting managed care causes a large and significant increase in hospital spending, which cannot be explained by changes in hospital market concentration, other regulatory activity, and multiple other possible explanations. I also do not find effects of the backlash on mortality.