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be earning shared-savings bonuses by selecting for lower-risk patients or providers with lower-risk panels. We conducted … three sets of analyses to examine risk selection in the Medicare Shared Savings Program. First, we estimated overall MSSP … savings through 2015 using a difference-in-differences approach and methods that eliminated selection bias from ACO program …
Persistent link: https://www.econbiz.de/10012480347
Medicaid policy variables that differ across states have a significant but small effect on the savings decisions of the elderly …
Persistent link: https://www.econbiz.de/10012466461
In the last two decades, Medicare spending has doubled in real terms despite the fact that the health of Medicare beneficiaries improved over this period. The goals of this paper are to document how trends in spending by age have changed among elderly Medicare beneficiaries in the last decade...
Persistent link: https://www.econbiz.de/10012471504
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 constructs a rich model of saving for retired single people. Our framework allows for bequest motives and heterogeneity in medical expenses and life expectancies. We estimate the model using AHEAD data and the method of simulated moments. The data show that out-of-pocket medical...
Persistent link: https://www.econbiz.de/10012463501
Features of Part D gave rise to broad concern that the drug benefit would negatively impact prescription utilization among the six million dual eligible beneficiaries, either during the transition from state Medicaid to Part D coverage, or in the long-run. At the same time, Part D contained...
Persistent link: https://www.econbiz.de/10012464234
We analyze Medicare Part D's net effect on elderly out-of-pocket (OOP) costs and use of prescription drugs using a dataset containing 1.4 billion prescription records from Wolters Kluwer Health (WKH). These data span the period December 2004-December 2007 and include pharmacy customers whose age...
Persistent link: https://www.econbiz.de/10012464322
The health insurance characteristics of the population changes sharply at age 65 as most people become eligible for Medicare. But do these changes matter for health? We address this question using data on over 400,000 hospital admissions for people who are admitted through the emergency room for...
Persistent link: https://www.econbiz.de/10012465036
Medicare as a Secondary Payer (MSP) legislation requires employer-sponsored health insurance to be a primary payer for Medicare-eligible workers at firms with 20 or more employees. While the legislation was developed to better target Medicare services to individuals without access to...
Persistent link: https://www.econbiz.de/10012465267
The introduction of Medicare Part D has generated interest in the cost of providing drug coverage to the elderly. Of paramount importance -- often unaccounted for in budget estimates -- are the salutary effects that increased prescription drug use might have on other Medicare spending. This...
Persistent link: https://www.econbiz.de/10012465291