Nursing Home Discharges and Exhaustion of Medicare Benefits
作者:
AlanM. Garber,
ThomasE. MaCurdy,
期刊:
Journal of the American Statistical Association
(Taylor Available online 1993)
卷期:
Volume 88,
issue 423
页码: 727-736
ISSN:0162-1459
年代: 1993
DOI:10.1080/01621459.1993.10476333
出版商: Taylor & Francis Group
关键词: Health policy;Long-term care;Polynomials;Price effects
数据来源: Taylor
摘要:
The relationship between the utilization of nursing home care and its price is a subject of considerable policy interest. We assess price sensitivity by developing and applying “overlap polynomials” as a method to exploit the temporal price variation implicit in Medicare payment rules for nursing home care. Standard methods for measuring price responsiveness are inappropriate for measuring the effects of temporal price variation, and unmeasured quality variation often confounds cross-sectional price variation. Our empirical analysis assesses the magnitude of shifts in nursing home discharge rates attributable to the price changes that occur when Medicare coverage diminishes or ends. Our findings provide strong evidence that the duration of nursing home stays is sensitive to price in the population examined here.
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