G2TT
来源类型Working Paper
规范类型报告
DOI10.3386/w10757
来源IDWorking Paper 10757
Socioeconomic Status and Medical Care Expenditures in Medicare Managed Care
Kanika Kapur; Jeannette A. Rogowski; Vicki A. Freedman; Steven L. Wickstrom; John L. Adams; Jose J. Escarce
发表日期2004-09-13
出版年2004
语种英语
摘要This study examined the effects of education, income, and wealth on medical care expenditures in two Medicare managed care plans. The study also sought to elucidate the pathways through which socioeconomic status (SES) affects expenditures, including preferences for health and medical care and ability to navigate the managed care system. We modeled the effect of SES on medical care expenditures using Generalized Linear Models, estimating separate models for each component of medical expenditures: inpatient, outpatient, physician, and other expenditures. We found that education, income, and wealth all affected medical care expenditures, although the effects of these variables differed across expenditure categories. Moreover, the effects of these SES variables were much smaller than the effects found in earlier studies of fee-for-service Medicare. The pathway variables also were associated with expenditures. Accounting for the pathways through which SES affects expenditures narrowed the effect of SES on expenditures; however, the change in the estimates was very small. Thus, although our measures of preferences and ability to navigate the system were associated with expenditures, they did not account for an appreciable share of the impact of SES on expenditures.
主题Health, Education, and Welfare ; Health
URLhttps://www.nber.org/papers/w10757
来源智库National Bureau of Economic Research (United States)
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资源类型智库出版物
条目标识符http://119.78.100.153/handle/2XGU8XDN/568389
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GB/T 7714
Kanika Kapur,Jeannette A. Rogowski,Vicki A. Freedman,et al. Socioeconomic Status and Medical Care Expenditures in Medicare Managed Care. 2004.
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