Public insurance substituting for private insurance: new evidence regarding public hospitals, uncompensated care funds, and medicaid
Public insurance substituting for private insurance: new evidence regarding public hospitals, uncompensated care funds, and medicaid
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DOI：
10.1016/s0167-6296(98)00050-2
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发表时间：
2000-01-01
影响因子：
3.5
通讯作者：
Rask, KJ
中科院分区：
文献类型：
--
作者：
Rask, KN;Rask, KJ
本文考察了公共医疗保险计划对购买私人医疗保险的影响，无论是作为对医疗保健提供者的补贴(公立医院和无偿医疗补偿基金)还是作为直接保险(医疗补助)。公立医院的存在与那些收入在贫困线100%-200%到200%-400%之间的人获得私人保险的可能性较低有关。在所有收入群体中，未补偿的护理补偿基金与购买私人健康保险的数量较少和没有保险的可能性较高相关。更慷慨的医疗补助计划显示了我们的安全网和拥挤效应。(C)2000 Elsevier Science B.V.保留所有权利。
This paper examines the impact of public health insurance programs, whether structured as subsidies to health care providers (public hospitals and uncompensated care reimbursement funds) or as direct insurance (Medicaid), on the purchase of private health insurance. The presence of a public hospital is associated with a lower likelihood of private insurance for those with incomes between 100-200% and 200-400% of the poverty level. Uncompensated care reimbursement funds were associated with less purchase of private health insurance and a higher likelihood of being uninsured across all income groups. More generous Medicaid programs showed both safety-net and crowd our effects. (C) 2000 Elsevier Science B.V. All rights reserved.