Socioeconomic status and medical care expenditures in Medicare managed care:
This study examined the effects of education, income, and wealth on medical care expenditures in two Medicare managed care plans. The study also sought to elucidate the pathways through which socioeconomic status (SES) affects expenditures, including preferences for health and medical care and abili...
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Cambridge, Mass.
National Bureau of Economic Research
2004
|
| Schriftenreihe: | National Bureau of Economic Research <Cambridge, Mass.>: NBER working paper series
10757 |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Zusammenfassung: | This study examined the effects of education, income, and wealth on medical care expenditures in two Medicare managed care plans. The study also sought to elucidate the pathways through which socioeconomic status (SES) affects expenditures, including preferences for health and medical care and ability to navigate the managed care system. We modeled the effect of SES on medical care expenditures using Generalized Linear Models, estimating separate models for each component of medical expenditures: inpatient, outpatient, physician, and other expenditures. We found that education, income, and wealth all affected medical care expenditures, although the effects of these variables differed across expenditure categories. Moreover, the effects of these SES variables were much smaller than the effects found in earlier studies of fee-for-service Medicare. The pathway variables also were associated with expenditures. Accounting for the pathways through which SES affects expenditures narrowed the effect of SES on expenditures; however, the change in the estimates was very small. Thus, although our measures of preferences and ability to navigate the system were associated with expenditures, they did not account for an appreciable share of the impact of SES on expenditures. |
| Beschreibung: | 34 S. |
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| 520 | 3 | |a This study examined the effects of education, income, and wealth on medical care expenditures in two Medicare managed care plans. The study also sought to elucidate the pathways through which socioeconomic status (SES) affects expenditures, including preferences for health and medical care and ability to navigate the managed care system. We modeled the effect of SES on medical care expenditures using Generalized Linear Models, estimating separate models for each component of medical expenditures: inpatient, outpatient, physician, and other expenditures. We found that education, income, and wealth all affected medical care expenditures, although the effects of these variables differed across expenditure categories. Moreover, the effects of these SES variables were much smaller than the effects found in earlier studies of fee-for-service Medicare. The pathway variables also were associated with expenditures. Accounting for the pathways through which SES affects expenditures narrowed the effect of SES on expenditures; however, the change in the estimates was very small. Thus, although our measures of preferences and ability to navigate the system were associated with expenditures, they did not account for an appreciable share of the impact of SES on expenditures. | |
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| index_date | 2024-07-02T22:41:27Z |
| indexdate | 2024-07-09T21:25:10Z |
| institution | BVB |
| language | English |
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| publishDate | 2004 |
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| series | National Bureau of Economic Research <Cambridge, Mass.>: NBER working paper series |
| series2 | National Bureau of Economic Research <Cambridge, Mass.>: NBER working paper series |
| spelling | Socioeconomic status and medical care expenditures in Medicare managed care Kanika Kapur ... Cambridge, Mass. National Bureau of Economic Research 2004 34 S. txt rdacontent n rdamedia nc rdacarrier National Bureau of Economic Research <Cambridge, Mass.>: NBER working paper series 10757 This study examined the effects of education, income, and wealth on medical care expenditures in two Medicare managed care plans. The study also sought to elucidate the pathways through which socioeconomic status (SES) affects expenditures, including preferences for health and medical care and ability to navigate the managed care system. We modeled the effect of SES on medical care expenditures using Generalized Linear Models, estimating separate models for each component of medical expenditures: inpatient, outpatient, physician, and other expenditures. We found that education, income, and wealth all affected medical care expenditures, although the effects of these variables differed across expenditure categories. Moreover, the effects of these SES variables were much smaller than the effects found in earlier studies of fee-for-service Medicare. The pathway variables also were associated with expenditures. Accounting for the pathways through which SES affects expenditures narrowed the effect of SES on expenditures; however, the change in the estimates was very small. Thus, although our measures of preferences and ability to navigate the system were associated with expenditures, they did not account for an appreciable share of the impact of SES on expenditures. Sozialer Status / Gesetzliche Krankenversicherung / Sozialhilfeempfänger / Managed Care / Gesundheitskosten / Schätzung / USA Kapur, Kanika Sonstige (DE-588)131909800 oth Rogowski, Jeannette A. 1959- Sonstige (DE-588)131909851 oth Freedman, Vicki A. Sonstige oth Wickstrom, Steven L. Sonstige oth Adams, John L. Sonstige oth Escarce, José J. Sonstige (DE-588)132312379 oth Erscheint auch als Online-Ausgabe National Bureau of Economic Research <Cambridge, Mass.>: NBER working paper series 10757 (DE-604)BV002801238 10757 http://papers.nber.org/papers/w10757.pdf kostenfrei Volltext |
| spellingShingle | Socioeconomic status and medical care expenditures in Medicare managed care National Bureau of Economic Research <Cambridge, Mass.>: NBER working paper series Sozialer Status / Gesetzliche Krankenversicherung / Sozialhilfeempfänger / Managed Care / Gesundheitskosten / Schätzung / USA |
| title | Socioeconomic status and medical care expenditures in Medicare managed care |
| title_auth | Socioeconomic status and medical care expenditures in Medicare managed care |
| title_exact_search | Socioeconomic status and medical care expenditures in Medicare managed care |
| title_exact_search_txtP | Socioeconomic status and medical care expenditures in Medicare managed care |
| title_full | Socioeconomic status and medical care expenditures in Medicare managed care Kanika Kapur ... |
| title_fullStr | Socioeconomic status and medical care expenditures in Medicare managed care Kanika Kapur ... |
| title_full_unstemmed | Socioeconomic status and medical care expenditures in Medicare managed care Kanika Kapur ... |
| title_short | Socioeconomic status and medical care expenditures in Medicare managed care |
| title_sort | socioeconomic status and medical care expenditures in medicare managed care |
| topic | Sozialer Status / Gesetzliche Krankenversicherung / Sozialhilfeempfänger / Managed Care / Gesundheitskosten / Schätzung / USA |
| topic_facet | Sozialer Status / Gesetzliche Krankenversicherung / Sozialhilfeempfänger / Managed Care / Gesundheitskosten / Schätzung / USA |
| url | http://papers.nber.org/papers/w10757.pdf |
| volume_link | (DE-604)BV002801238 |
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