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Utilization of Home Healthcare Service by Medicare-Medicaid Dual Eligibles


  • Jaeun Shin

    () (KDI School of Public Policy and Management)

  • Sangho Moon

    () (Graduate School of Goverance, SungKyunKwan University)


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

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    References listed on IDEAS

    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.
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    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


    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)


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