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Semi-Parametric Estimation of Hurdle Regression Models with an Application to Medicaid Utilization

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Author Info
Gurmu, Shiferaw
Abstract

This paper develops a semi-parametric estimation method for hurdle (two-part) count regression models. The approach in each stage is based on Laguerre series expansion for the unknown density of the unobserved heterogeneity. The semi-parametric hurdle model nests Poisson and negative binomial hurdle models, which have been used in recent applied literature. The empirical part of the paper evaluates the impact of managed care programmes for Medicaid eligibles on utilization of health-care services using a key utilization variable, the number of doctor and health centre visits. Health status measures and age seem to be more important in determining health-care utilization than other socio-economic and enrollment variables. The semi-parametric approach is particularly useful for the analysis of overdisposed individual level data characterized by a large proportion of non-users, and highly skewed distribution of counts for users.

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File URL: http://qed.econ.queensu.ca:80/jae/1997-v12.3/
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Article provided by John Wiley & Sons, Ltd. in its journal Journal of Applied Econometrics.

Volume (Year): 12 (1997)
Issue (Month): 3 (May-June)
Pages: 225-43
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Handle: RePEc:jae:japmet:v:12:y:1997:i:3:p:225-43

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  1. Matthew Berman & Andrea Fenaughty, 2005. "Technology and managed care: patient benefits of telemedicine in a rural health care network," Health Economics, John Wiley & Sons, Ltd., vol. 14(6), pages 559-573. [Downloadable!]
  2. Markus Jochmann & Roberto León-González, 2004. "Estimating the demand for health care with panel data: a semiparametric Bayesian approach," Health Economics, John Wiley & Sons, Ltd., vol. 13(10), pages 1003-1014. [Downloadable!]
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  3. Begoña Álvarez, 2001. "La demanda atendida de consultas médicas y servicios urgentes en España," Investigaciones Economicas, Fundación SEPI, vol. 25(1), pages 93-138, January. [Downloadable!]
  4. Andr? Romeu-Santana & ?gel M. Vera-Hern?dez, . "A Semi-Nonparametric Estimator For Counts With An Endogenous Dummy. Variable," UFAE and IAE Working Papers 452.00, Unitat de Fonaments de l'Anàlisi Econòmica (UAB) and Institut d'Anàlisi Econòmica (CSIC). [Downloadable!]
    Other versions:
  5. Michael D. Creel & Montserrat Farell, 2001. "Likelihood-Based Approaches to Modeling Demand for Medical Care," UFAE and IAE Working Papers 498.01, Unitat de Fonaments de l'Anàlisi Econòmica (UAB) and Institut d'Anàlisi Econòmica (CSIC). [Downloadable!]
  6. Michael Creel, 2002. "Hausman Tests for Inefficient Estimators: Application to Demand for Health Care Service (revised)," UFAE and IAE Working Papers 509.02, Unitat de Fonaments de l'Anàlisi Econòmica (UAB) and Institut d'Anàlisi Econòmica (CSIC). [Downloadable!]
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