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The Medicare hospice program is intended to provide palliative care to terminal patients, but patients with long stays in hospice are highly profitable, motivating concerns about overuse among the Alzheimer's and Dementia (ADRD) population in the rapidly growing for-profit sector. We provide the...
Persistent link: https://www.econbiz.de/10014247956
The Medicare Part D Prescription Drug Plan represents the most significant privatization of the delivery of a public insurance benefit in recent history, with dozens of private insurers offering a wide range of products with varying prices and product features; the typical elder had a choice of...
Persistent link: https://www.econbiz.de/10012463888
Recent years have seen enormous growth in limited network plans that restrict patient choice of provider, particularly through state exchanges under the ACA. Opposition to such plans is based on concerns that restrictions on provider choice will harm patient care. We explore this issue in the...
Persistent link: https://www.econbiz.de/10012458206
One of the most sizable and least predictable shocks to economic opportunities in developing countries is major illness, both in terms of medical care expenditures and lost income from reduced labor supply and productivity. As a result, families may not be able to smooth their consumption over...
Persistent link: https://www.econbiz.de/10012472782
delivery, but this claim has little rigorous empirical support. We provide such support by assessing the impact of the Medicaid … eligibility leads to a significant decline in avoidable hospitalization: over this period Medicaid eligibility expansions were …
Persistent link: https://www.econbiz.de/10012471220
Medicaid's federal-state matching system of financing is the nation's largest example of fiscal federalism. Using … generous federal subsidies, the Affordable Care Act incentivized states to expand Medicaid, which became a state option in the … effects of state Medicaid expansion decisions. We find that Medicaid expansion increased total spending in expansion states by …
Persistent link: https://www.econbiz.de/10012482043
We examine the impact of the expansion of public prescription drug insurance coverage from Medicare Part D on the elderly and find evidence of substantial crowd-out. Using detailed data from the 2002-7 waves of the Medical Expenditure Panel Survey (MEPS), we estimate that the extension of Part D...
Persistent link: https://www.econbiz.de/10012462502
This paper examines the history, rules, and economic implications of the Medicaid program. I begin by providing a … patterns. I then turn to a review of the economic issues involved in studying the Medicaid program: assessing the impacts on … questions surrounding the Medicaid program …
Persistent link: https://www.econbiz.de/10012470914
outpatient settings and lowers Medicaid costs (the so-called offset effect'). To evaluate this hypothesis we exploit a large … increase in physician fees in the Tennessee Medicaid program, using Georgia as a control. We find that beneficiaries shifted …
Persistent link: https://www.econbiz.de/10012472727
lower income households in the U.S. We assess the validity of this hypothesis by investigating the effect of Medicaid, the … information on the eligibility of each household for Medicaid. Exogenous variation in Medicaid eligibility is provided by the … dramatic expansion of this program over the 1984-1993 period. We document that Medicaid eligibility has a sizeable and …
Persistent link: https://www.econbiz.de/10012472776