Some pitfalls in making cost estimates of state health insurance coverage expansions
Article Abstract:
A comparison is made on the cost estimates of subsidized insurance programs for low-income uninsured individuals in 10 states. The Current Population Survey (CPS) and the Robert Wood Johnson Foundation state surveys are used in the study. The costs of state programs could go beyond the estimates by over 50%, depending on the measure of insurance used and the concept of the family being used. State policy analysts should be cautious of these pitfalls and should make necessary adjustments when using CPS data in deriving program costs.
Publication Name: Inquiry
Subject: Health care industry
ISSN: 0046-9580
Year: 1996
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Patient choice of physician: do health insurance and physician characteristics matter?
Article Abstract:
A conditional decision model was used to test the hypothesis that better insured individuals are more likely to choose to go to specialists than general practitioners for their medical needs. The model was tested using data from the 1987 National Medical Expenditure Survey and the American Medical Assn. Results showed that the presence of insurance coverage has no effect on physician choice. However, the results indicated that individuals enrolled in health maintenance organizations are more likely to seek specialists.
Publication Name: Inquiry
Subject: Health care industry
ISSN: 0046-9580
Year: 1996
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Do shifts toward service industries, part-time work, ad self-employment explain the rising uninsured rate?
Article Abstract:
It is widely believed that the decline in health insurance coverage from 1980 to 1987 was caused by systematic shifts in employment patterns, such as the proliferation of part-time jobs and self-employment. However, studies using the March Current Population Survey data show that the trend to part-time work and self-employment during that period had a negligible effect on the uninsured rate. The decline can be explained by the differences in health insurance coverage among various industries.
Publication Name: Inquiry
Subject: Health care industry
ISSN: 0046-9580
Year: 1995
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