IDEAS home Printed from
   My bibliography  Save this paper

Medicaid and Service Use Among Homeless Adults


  • Sherry Glied
  • Christina Hoven
  • Robert Moore
  • A. Bowen Garrett


Expansions of Medicaid eligibility intend to improve access to care, and to shift care from emergency rooms and inpatient hospital care to more appropriate sites. We examine the effect of Medicaid recipiency on the level and site of medical service utilization using data from 1985 and 1987 surveys of New York City homeless single men and women. Simple regressions of Medicaid on the use of health services among homeless adults indicate that Medicaid significantly increases the likelihood that these individuals receive services, especially emergency and inpatient hospital services. We test this result in further analyses that control for health status, use instrumental variables procedures, and examine differences between a similar population in 1985 and 1987. These analyses suggest that Medicaid neither increases nor diminishes access to emergency rooms. We find some evidence that suggests that Medicaid does improve access to non-hospital medical care.

Suggested Citation

  • Sherry Glied & Christina Hoven & Robert Moore & A. Bowen Garrett, 1996. "Medicaid and Service Use Among Homeless Adults," NBER Working Papers 5834, National Bureau of Economic Research, Inc.
  • Handle: RePEc:nbr:nberwo:5834
    Note: HC

    Download full text from publisher

    File URL:
    Download Restriction: no

    References listed on IDEAS

    1. Nelson, Charles R & Startz, Richard, 1990. "The Distribution of the Instrumental Variables Estimator and Its t-Ratio When the Instrument Is a Poor One," The Journal of Business, University of Chicago Press, vol. 63(1), pages 125-140, January.
    2. Murphy, Kevin M & Topel, Robert H, 2002. "Estimation and Inference in Two-Step Econometric Models," Journal of Business & Economic Statistics, American Statistical Association, vol. 20(1), pages 88-97, January.
    Full references (including those not matched with items on IDEAS)

    More about this item

    JEL classification:

    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets


    Access and download statistics


    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:nbr:nberwo:5834. 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: () or (Joanne Lustig). General contact details of provider: .

    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.