G2TT
来源类型Working Paper
规范类型报告
DOI10.3386/w23090
来源IDWorking Paper 23090
Healthcare Spending and Utilization in Public and Private Medicare
Vilsa Curto; Liran Einav; Amy Finkelstein; Jonathan D. Levin; Jay Bhattacharya
发表日期2017-01-30
出版年2017
语种英语
摘要We compare healthcare spending in public and private Medicare using newly available claims data from Medicare Advantage (MA) insurers. MA insurer revenues are 30 percent higher than their healthcare spending. Healthcare spending is 25 percent lower for MA enrollees than for enrollees in traditional Medicare (TM) in the same county with the same risk score. Spending differences between MA and TM are similar across sub-populations of enrollees and sub-categories of care, with similar reductions for "high value" and "low value" care. Spending differences primarily reflect differences in healthcare utilization; spending per encounter and hospital payments per admission are very similar in MA and TM. Geographic variation in MA spending is about 20 percent higher than in TM, but geographic variation in hospital prices is about 20 percent lower. We present evidence consistent with MA plans encouraging substitution to less expensive care, such as primary rather than specialist care, and outpatient rather than inpatient surgery, and with employing various types of utilization management. Some of the overall spending differences between MA and TM may be driven by selection on unobservables, and we report a range of estimates of this selection effect using mortality outcomes to proxy for selection.
主题Public Economics ; Public Goods ; National Fiscal Issues ; Health, Education, and Welfare ; Health
URLhttps://www.nber.org/papers/w23090
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/580764
推荐引用方式
GB/T 7714
Vilsa Curto,Liran Einav,Amy Finkelstein,et al. Healthcare Spending and Utilization in Public and Private Medicare. 2017.
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
w23090.pdf(780KB)智库出版物 限制开放CC BY-NC-SA浏览
个性服务
推荐该条目
保存到收藏夹
导出为Endnote文件
谷歌学术
谷歌学术中相似的文章
[Vilsa Curto]的文章
[Liran Einav]的文章
[Amy Finkelstein]的文章
百度学术
百度学术中相似的文章
[Vilsa Curto]的文章
[Liran Einav]的文章
[Amy Finkelstein]的文章
必应学术
必应学术中相似的文章
[Vilsa Curto]的文章
[Liran Einav]的文章
[Amy Finkelstein]的文章
相关权益政策
暂无数据
收藏/分享
文件名: w23090.pdf
格式: Adobe PDF
此文件暂不支持浏览

除非特别说明,本系统中所有内容都受版权保护,并保留所有权利。