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来源类型 | Working Paper |
规范类型 | 报告 |
DOI | 10.3386/w29471 |
来源ID | Working Paper 29471 |
The Impact of Provider Payments on Health Care Utilization of Low-Income Individuals: Evidence from Medicare and Medicaid | |
Marika Cabral; Colleen Carey; Sarah Miller | |
发表日期 | 2021-11-15 |
出版年 | 2021 |
语种 | 英语 |
摘要 | Provider payments are the key determinant of insurance generosity within many health insurance programs covering low-income populations. This paper analyzes the effects of a large, federally-mandated provider payment increase for primary care services provided to low-income elderly and disabled individuals. Drawing upon comprehensive administrative payment and utilization data, we leverage variation across beneficiaries and across providers in the policy-induced payment increase in difference-in-differences and triple differences research designs. The estimates indicate that the provider payment reform led to a 6.3% increase in the targeted services provided to eligible beneficiaries, indicating an implied payment elasticity of 1.2. Further, the provider payment reform decreased the fraction of low-income beneficiaries with no primary care visit in a year by 9%, completely closing the gap relative to higher-income beneficiaries with the same observable characteristics. Heterogeneity analysis indicates that the payment increase led to an expansion of utilization for many subgroups, with somewhat larger effects among beneficiaries who are younger, are white, and live in areas with many primary care providers per capita. |
主题 | Health, Education, and Welfare ; Health |
URL | https://www.nber.org/papers/w29471 |
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/587145 |
推荐引用方式 GB/T 7714 | Marika Cabral,Colleen Carey,Sarah Miller. The Impact of Provider Payments on Health Care Utilization of Low-Income Individuals: Evidence from Medicare and Medicaid. 2021. |
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 | ||
w29471.pdf(454KB) | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 |
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