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The Duration of Medicaid Spells: An Analysis Using Flow and Stock Samples

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Author Info

  • Mark C. Berger

    (University of Kentucky)

  • Dan A. Black

    (University of Kentucky)

Abstract

We use unique data from the Medicaid program of the Commonwealth of Kentucky to examine the duration of Medicaid spells. The data set consists of a one in ten sample of all Medicaid recipients in Kentucky on July 1, 1986, and a similar sample of all new spells between July 1, 1986, and June 30, 1987. Because the beginning date of Medicaid recipiency is known for all spells, this mixed "stock" and "flow" sample allows us to identify the duration of Medicaid spells up to 20 years. This is in contrast to other studies using short panels of new spells. We find significant differences in hazard functions across program eligibility categories, suggesting that the cost of expanding Medicaid or the savings from contracting it would vary depending on the eligibility group affected by the change in policy.

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Bibliographic Info

Paper provided by EconWPA in its series HEW with number 9604003.

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Length: 28 pages
Date of creation: 03 Apr 1996
Date of revision:
Handle: RePEc:wpa:wuwphe:9604003

Note: Type of Document - Binary Word for Windows (V6.0) Document; prepared on IBM PC Compatible; to print on HP LaserJet III; pages: 28; figures: Tables included at end.
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Related research

Keywords: Medical Transfer payments; Hazard models; Duration models;

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References

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  1. Enberg, John & Gottschalk, Peter & Wolf, Douglas, 1990. "A random-effects logit model of work-welfare transitions," Journal of Econometrics, Elsevier, vol. 43(1-2), pages 63-75.
  2. Blank, Rebecca M., 1989. "Analyzing the length of welfare spells," Journal of Public Economics, Elsevier, vol. 39(3), pages 245-273, August.
  3. Hoynes, Hilary & MaCurdy, Thomas, 1994. "Has the Decline in Benefits Shortened Welfare Spells?," American Economic Review, American Economic Association, vol. 84(2), pages 43-48, May.
  4. Daniel Meyer, 1993. "Child support and welfare dynamics: Evidence from Wisconsin," Demography, Springer, vol. 30(1), pages 45-62, February.
  5. Light, Audrey & Ureta, Manuelita, 1992. "Panel Estimates of Male and Female Job Turnover Behavior: Can Female Nonquitters Be Identified?," Journal of Labor Economics, University of Chicago Press, vol. 10(2), pages 156-81, April.
  6. Heckman, James J. & Singer, Burton, 1984. "Econometric duration analysis," Journal of Econometrics, Elsevier, vol. 24(1-2), pages 63-132.
  7. Moffitt, Robert, 1985. "Unemployment insurance and the distribution of unemployment spells," Journal of Econometrics, Elsevier, vol. 28(1), pages 85-101, April.
  8. Farber, Henry S, 1994. "The Analysis of Interfirm Worker Mobility," Journal of Labor Economics, University of Chicago Press, vol. 12(4), pages 554-93, October.
  9. McCall, Brian P, 1990. "Occupational Matching: A Test of Sorts," Journal of Political Economy, University of Chicago Press, vol. 98(1), pages 45-69, February.
  10. McDonald, James B. & Butler, Richard J., 1990. "Regression models for positive random variables," Journal of Econometrics, Elsevier, vol. 43(1-2), pages 227-251.
  11. O'Neill, June A & Bassi, Laurie J & Wolf, Douglas A, 1987. "The Duration of Welfare Spells," The Review of Economics and Statistics, MIT Press, vol. 69(2), pages 241-48, May.
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Cited by:
  1. Peter A. Groothuis & James Richard Hill, 2009. "Correcting for Survival Effects in Cross Section Wage Equations Using NBA Data," Working Papers 09-19, Department of Economics, Appalachian State University.
  2. Peter A. Groothuis & Richard Hill, 2007. "Exit Discrimination in Major League Baseball: 1990-2004," Working Papers 07-02, Department of Economics, Appalachian State University.
  3. Johnny Ducking & Peter A. Groothuis & James Richard Hill, 2012. "Minimum Pay Scale and Career Length in the NBA," Working Papers 12-02, Department of Economics, Appalachian State University.
  4. Hirsch, Boris & Schnabel, Claus, 2010. "Women Move Differently: Job Separations and Gender," IZA Discussion Papers 5154, Institute for the Study of Labor (IZA).
  5. Peter A. Groothuis & Jana D. Groothuis, 2006. "Nepotism or Family Tradition?: A Study of NASCAR Drivers," Working Papers 06-11, Department of Economics, Appalachian State University.
  6. Black, Dan A. & McKinnish, Terra G. & Sanders, Seth G., 2003. "Does the availability of high-wage jobs for low-skilled men affect welfare expenditures? Evidence from shocks to the steel and coal industries," Journal of Public Economics, Elsevier, vol. 87(9-10), pages 1921-1942, September.
  7. Friesen, Jane, 2005. "Statutory firing costs and lay-offs in Canada," Labour Economics, Elsevier, vol. 12(2), pages 147-168, April.

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