| 来源类型 | Working Paper |
| 规范类型 | 报告 |
| DOI | 10.3386/w18023 |
| 来源ID | Working Paper 18023 |
| The Impact of Patient Cost-Sharing on the Poor: Evidence from Massachusetts | |
| Amitabh Chandra; Jonathan Gruber; Robin McKnight | |
| 发表日期 | 2012-04-26 |
| 出版年 | 2012 |
| 语种 | 英语 |
| 摘要 | Greater patient cost-sharing could help reduce the fiscal pressures associated with insurance expansion by reducing the scope for moral hazard. But it is possible that low-income recipients are unable to cut back on utilization wisely and that, as a result, higher cost-sharing will lead to worse health and higher downstream costs through hospitalizations. We use exogenous variation in the copayments faced by low-income enrollees in the Massachusetts' Commonwealth Care program to study these effects. We estimate separate price elasticities of demand by type of service (hospital care, drugs, outpatient care). Overall, we find price elasticities of about -0.15 for this low-income population -- fairly similar to elasticities calculated for higher-income populations in other settings. These elasticities are somewhat larger for the chronically sick and older enrollees. A substantial portion of the decline in utilization comes from some patients cutting back on use completely, but we find no (detectable) evidence of offsetting increases in hospitalizations or emergency department visits in response to the higher copayments, either overall or for the chronically ill in particular. |
| 主题 | Health, Education, and Welfare ; Health |
| URL | https://www.nber.org/papers/w18023 |
| 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/575699 |
| 推荐引用方式 GB/T 7714 | Amitabh Chandra,Jonathan Gruber,Robin McKnight. The Impact of Patient Cost-Sharing on the Poor: Evidence from Massachusetts. 2012. |
| 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 | ||
| w18023.pdf（149KB） | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 | ||
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