IDEAS home Printed from https://ideas.repec.org/a/cuf/journl/y2005v6i1p89-104.html
   My bibliography  Save this article

Utilization of Home Healthcare Service by Medicare-Medicaid Dual Eligibles

Author

Listed:
  • Jaeun Shin

    () (KDI School of Public Policy and Management)

  • Sangho Moon

    () (Graduate School of Goverance, SungKyunKwan University)

Abstract

This study explores the characteristics of Medicare-only beneficiaries and Medicare-Medicaid dual eligibles in comparison, assess what factors determine the dual eligibility status, and examine the association between dual eligibility status and home healthcare service use. Using retrospective observational study of the U.S. 1996-2000 Medical Expenditure Panel Survey, we find that dual eligibles are disadvantaged in various personal characteristics compared to Medicare-only beneficiaries. The major predictors of dual eligibility status are race/ethnicity, family income and health conditions. Dual eligibles are likely to use more of both paid and unpaid home healthcare service, and subsequently induce higher total expenditures on home healthcare. As dual eligible population may be one contributor to the rapid growth in utilization and spending on home healthcare service in Medicare and Medicaid programs, policy makers need to precisely assess the medical need among the beneficiaries to efficiently coordinate Medicare and Medicaid programs.

Suggested Citation

  • Jaeun Shin & Sangho Moon, 2005. "Utilization of Home Healthcare Service by Medicare-Medicaid Dual Eligibles," Annals of Economics and Finance, Society for AEF, vol. 6(1), pages 89-104, May.
  • Handle: RePEc:cuf:journl:y:2005:v:6:i:1:p:89-104
    as

    Download full text from publisher

    File URL: http://www.aeconf.net/Articles/May2005/aef060106.pdf
    Download Restriction: no

    File URL: http://down.aefweb.net/AefArticles/aef060106.pdf
    Download Restriction: no

    References listed on IDEAS

    as
    1. Heckman, James, 2013. "Sample selection bias as a specification error," Applied Econometrics, Publishing House "SINERGIA PRESS", vol. 31(3), pages 129-137.
    2. Mullahy, John, 1986. "Specification and testing of some modified count data models," Journal of Econometrics, Elsevier, vol. 33(3), pages 341-365, December.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Rosemary Borck & Carol V. Irvin & Wilfredo Lim, 2014. "Transitions from Medicare-Only to Medicare-Medicaid Enrollment," Mathematica Policy Research Reports e1238ad481cd4bcd837c0f2ae, Mathematica Policy Research.
    2. Wilfredo Lim & Carol V. Irvin & Rosemary Borck, 2014. "Factors Predicting Transitions from Medicare-Only to Medicare-Medicaid Enrollee Status," Mathematica Policy Research Reports ca28627bafb141c995ed4e54b, Mathematica Policy Research.

    More about this item

    Keywords

    Utilization; Healthcare;

    JEL classification:

    • I0 - Health, Education, and Welfare - - General
    • E20 - Macroeconomics and Monetary Economics - - Consumption, Saving, Production, Employment, and Investment - - - General (includes Measurement and Data)

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:cuf:journl:y:2005:v:6:i:1:p:89-104. See general information about how to correct material in RePEc.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Qiang Gao). General contact details of provider: http://edirc.repec.org/data/emcufcn.html .

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service hosted by the Research Division of the Federal Reserve Bank of St. Louis . RePEc uses bibliographic data supplied by the respective publishers.