| 来源类型 | Working Paper |
| 规范类型 | 报告 |
| DOI | 10.3386/w6249 |
| 来源ID | Working Paper 6249 |
| Persistence of Medicare Expenditures Among Elderly Beneficiaries | |
| Alan M. Garber; Thomas E. MaCurdy; Mark B. McClellan | |
| 发表日期 | 1997-10-01 |
| 出版年 | 1997 |
| 语种 | 英语 |
| 摘要 | The highly uneven distribution of Medicare payments among elderly beneficiaries, combined with the predictability of some of the expenditures, poses several challenges to the Medicare program. We present information about the distribution of Medicare expenditures among beneficiaries in specific years, accompanied by new evidence on the extent to which Medicare payments for the care of individual beneficiaries persist over long time periods. Our analysis is based on a longitudinal population of Medicare enrollees during the years from 1987 to 1995. We find that high-cost users accounted for a disproportionate share of the growth of Medicare Part A (hospital) payments during this period, but that an increase in the number of beneficiaries using covered services was largely responsible for the growth of Medicare Part B payments. Few beneficiaries are in the highest-cost categories for multiple years; the high mortality rates of people who use medical services heavily, whether the expenditures occur in one year or repeatedly, limits the extent of expenditure persistence. Even among survivors, it is unusual to remain in the highest-cost categories for multiple years. Nevertheless, individuals with high expenditures in one year are likely to have higher than average expenditures in other years, and expenditures are highly skewed even over a period of nine years. Any policy to reform Medicare will need to accomodate expenditure persistence in order to provide adequate coverage for all beneficiaries. |
| 主题 | Health, Education, and Welfare ; Health ; Labor Economics ; Demography and Aging |
| URL | https://www.nber.org/papers/w6249 |
| 来源智库 | National Bureau of Economic Research (United States) |
| 引用统计 | |
| 资源类型 | 智库出版物 |
| 条目标识符 | http://119.78.100.153/handle/2XGU8XDN/563759 |
| 推荐引用方式 GB/T 7714 | Alan M. Garber,Thomas E. MaCurdy,Mark B. McClellan. Persistence of Medicare Expenditures Among Elderly Beneficiaries. 1997. |
| 条目包含的文件 | ||||||
| 文件名称/大小 | 资源类型 | 版本类型 | 开放类型 | 使用许可 | ||
| w6249.pdf（1131KB） | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 | ||
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