| 来源类型 | Working Paper
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| 规范类型 | 报告
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| DOI | 10.3386/w10414
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| 来源ID | Working Paper 10414
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| Home Care Reimbursement, Long-term Care Utilization, and Health Outcomes |
| Robin McKnight
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| 发表日期 | 2004-04-12
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| 出版年 | 2004
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| 语种 | 英语
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| 摘要 | Long-term care currently comprises almost 10% of national health expenditures and is projected to rise rapidly over coming decades. A key, and relatively poorly understood, element of long-term care is home health care. I use a substantial change in Medicare reimbursement policy, which took the form of tightly binding average per-patient reimbursement caps, to address several questions about the market for home care. I find that the reimbursement change was associated with a large drop in the provision of home care. This drop was concentrated among unhealthy beneficiaries, which is consistent with the incentives for patient selection inherent in the per-patient caps. I find that the decline in home health utilization was not offset by increases in institutional long-term care or other medical care and that there were no associated adverse health consequences. However, approximately one-quarter of the decline in Medicare spending was offset by increases in out-of-pocket expenditures for home health care, with the offset concentrated in higher income populations. Despite the value of home health care implied by the out-of-pocket expenditures, I find that the welfare implications of the reimbursement change were ambiguous. |
| 主题 | Health, Education, and Welfare
; Health
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| URL | https://www.nber.org/papers/w10414
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| 来源智库 | National Bureau of Economic Research (United States)
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| 引用统计 |
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| 资源类型 | 智库出版物
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| 条目标识符 | http://119.78.100.153/handle/2XGU8XDN/568043
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推荐引用方式
GB/T 7714 |
Robin McKnight. Home Care Reimbursement, Long-term Care Utilization, and Health Outcomes. 2004.
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文件名：
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w10414.pdf
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格式：
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Adobe PDF
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