How Medicare and Medicaid Rely on Private Health Insurance
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For a majority of Medicare and Medicaid recipients, the government program is paying a private health insurance company to provide the service from a private firm. In the Spring 2026 issue of the Journal of Economic Perspectives, Tim Layton, Luca Maini, and J. Michael McWilliams tell the story of Medicare in “Substitutes for Success? Public versus Private Competition in Medicare Advantage.” Mark Shepard and Jacob Wallace tell the story of Medicaid in “Understanding Medicaid M
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