Changing the way the elderly live: Evidence from the home health care market in the United States
Changing the way the elderly live: Evidence from the home health care market in the United States
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DOI：
10.1016/j.jpubeco.2009.10.010
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发表时间：
2010-02-01
影响因子：
9.8
通讯作者：
Orsini, Chiara
中科院分区：
文献类型：
--
作者：
Orsini, Chiara
我研究如何减少政府覆盖的家庭医疗保健访问的老年人在美国已经影响到他们的生活安排，特别是。我利用1997年通过的立法所产生的医疗保险家庭医疗保健报销率的地理差异，并确定其影响。我发现，不太慷慨的报销政策导致更大比例的老年人放弃独立生活。模型估计表明，每个用户一次就诊的报销减少，导致老年医疗保险受益人生活在共同生活安排中的比例增加0.98%。也就是说，与别人一起生活，而不是独自一人或只与配偶一起生活。这一估计意味着，每个医疗保险受益人51次就诊的报销减少，使生活在共同生活安排中的老年人比例增加了112个百分点。这种增长与1997年至2000年期间生活在共同生活安排中的老年人比例的时间序列增长一致（C）2009 Elsevier B V保留所有权利
I examine how decreases in government coverage of home health care visits to the elderly in the United States have affected their living arrangements Specifically. I exploit geographic variation in the Medicare Home Health Care reimbursement rate that arose as a result of legislation passed in 1997 and I identify its impact Oil the living arrangements of older Medicare beneficiaries I find that less generous reimbursement policies lead to a greater fraction of elderly giving up independent living Baseline-model estimates Suggest that a decline in reimbursement of one visit per user leads to a 0.98% increase in the fraction of elderly Medicare beneficiaries living in shared living arrangements. that is, living with somebody else, rather than alone or with only the spouse This estimate implies that a decline in reimbursement of 5 1 visits per Medicare beneficiary increases the fraction of elderly that live in shared living arrangements by 1 12 percentage Points. Such an increase is consistent with the time-series increase in the fraction of elderly that live in shared living arrangements between 1997 and 2000 (C) 2009 Elsevier B V All rights reserved