| 来源类型 | Working Paper
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| 规范类型 | 报告
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| DOI | 10.3386/w25156
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| 来源ID | Working Paper 25156
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| Does High Cost-Sharing Slow the Long-term Growth Rate of Health Spending? Evidence from the States |
| Molly Frean; Mark Pauly
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| 发表日期 | 2018-10-15
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| 出版年 | 2018
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| 语种 | 英语
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| 摘要 | Research has shown that higher cost-sharing lowers health care spending levels but less is known about whether cost-sharing also affects spending growth. From 2002 to 2016, private insurance deductibles more than tripled in magnitude. We use data from the Centers for Medicare and Medicaid Services and the Agency for Healthcare Research and Quality to estimate whether areas with relatively higher deductibles experienced lower spending growth during this period. We leverage panel variation in private deductibles across states and over time and address the potential endogeneity of deductibles using instrumental variables. We find that spending growth is significantly lower in states with higher average deductibles and observe this relationship with regard to both private insurance benefits and total spending (including Medicare and Medicaid), suggestive of potential spillovers. We hypothesize that the impact on spending growth happens because deductibles affect the diffusion of costly new technology. |
| 主题 | Health, Education, and Welfare
; Health
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| URL | https://www.nber.org/papers/w25156
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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/582829
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推荐引用方式
GB/T 7714 |
Molly Frean,Mark Pauly. Does High Cost-Sharing Slow the Long-term Growth Rate of Health Spending? Evidence from the States. 2018.
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文件名：
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w25156.pdf
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格式：
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Adobe PDF
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