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A Quasi-experimental Comparison of Econometric Models for Health Care Expenditures

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Author Info
Partha Deb () (Hunter College, Department of Economics)
James F. Burgess, Jr. () (US Department of Veterans Affairs Management Science Group, Boston University School of Public Health)

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Abstract

Individual health care expenditures have complex non-normal distributions with severe positive skewness and leptokurtosis. These features present severe challenges to reliable modeling of expenditures for prediction purposes. We compare a variety of methods using quasi-experimental techniques. Our quasi-experiments combine the distributional realism of actual data on health care expenditures with the reliability of Monte Carlo experimental results. We find that models based on Gamma densities predict substantially better than models based on linear regression with and without transformation of the dependent variable. Models based on finite mixtures of Gamma densities show further improvement in predictive properties.

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Publisher Info
Paper provided by Hunter College: Department of Economics in its series Hunter College Department of Economics Working Papers with number 212.

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Length: 31 pages
Date of creation: 2003
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Handle: RePEc:htr:hcecon:212

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Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
  1. Deb, Partha & Trivedi, Pravin K., 2002. "The structure of demand for health care: latent class versus two-part models," Journal of Health Economics, Elsevier, vol. 21(4), pages 601-625, July. [Downloadable!] (restricted)
  2. Hendry, David F., 1982. "A reply to Professors Maasoumi and Phillips," Journal of Econometrics, Elsevier, vol. 19(2-3), pages 203-213, August. [Downloadable!] (restricted)
  3. James J. Heckman, 2001. "Micro Data, Heterogeneity, and the Evaluation of Public Policy: Nobel Lecture," Journal of Political Economy, University of Chicago Press, vol. 109(4), pages 673-748, August. [Downloadable!] (restricted)
  4. McDonald, James B & Mantrala, Anand, 1995. "The Distribution of Personal Income: Revisited," Journal of Applied Econometrics, John Wiley & Sons, Ltd., vol. 10(2), pages 201-04, April-Jun. [Downloadable!] (restricted)
  5. Blough, David K. & Madden, Carolyn W. & Hornbrook, Mark C., 1999. "Modeling risk using generalized linear models," Journal of Health Economics, Elsevier, vol. 18(2), pages 153-171, April. [Downloadable!] (restricted)
  6. Esfandier Maasoumi & Peter C.B. Phillips, 1980. "On the Behavior of Inconsistent Instrumental Variable Estimators," Cowles Foundation Discussion Papers 568, Cowles Foundation, Yale University. [Downloadable!]
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  7. Manning, Willard G. & Mullahy, John, 2001. "Estimating log models: to transform or not to transform?," Journal of Health Economics, Elsevier, vol. 20(4), pages 461-494, July. [Downloadable!] (restricted)
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Cited by:
(explanations, Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.)

  1. Andrew Briggs & Richard Nixon & Simon Dixon & Simon Thompson, 2005. "Parametric modelling of cost data: some simulation evidence," Health Economics, John Wiley & Sons, Ltd., vol. 14(4), pages 421-428. [Downloadable!]
  2. Richard M. Nixon & Simon G. Thompson, 2005. "Methods for incorporating covariate adjustment, subgroup analysis and between-centre differences into cost-effectiveness evaluations," Health Economics, John Wiley & Sons, Ltd., vol. 14(12), pages 1217-1229. [Downloadable!]
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