Effect of low-income elderly insurance copayment subsidies.

Part of a special section on dually eligible Medicare and Medicaid beneficiaries. The writers employ a two-part model of demand to model the effect of qualified Medicare beneficiary (QMB) enrollment on medical care use. Assuming QMB enrollment to be exogenous, they report that Part B utilization i...

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Bibliographic Details
Published in:Health Care Financing Review Vol. 20; no. 2; pp. 19 - 38
Main Authors: Parente, Stephen T., Evans, William N.
Format: Article
Published: HCFA ORDS Publications Winter 1998
Subjects:
Online Access:View this record in EBSCOhost
Description
Summary:Part of a special section on dually eligible Medicare and Medicaid beneficiaries. The writers employ a two-part model of demand to model the effect of qualified Medicare beneficiary (QMB) enrollment on medical care use. Assuming QMB enrollment to be exogenous, they report that Part B utilization is 12 percent higher and Part B expenditures 44 percent greater among QMBs than among eligible non-enrollees. In addition, they argue that there is no difference between these two groups in overall Part A expenditures. Furthermore, they point out that, modeling the possibility that QMB enrollment is endogenous, they find qualitatively similar findings, although they note that the estimates are not precisely estimated.