US Health Care Expenditures, GDP and Health Policy Reforms: Evidence from End-of-Sample Structural Break Tests.

IF 1.1 Q3 ECONOMICS
Eastern Economic Journal Pub Date : 2022-01-01 Epub Date: 2022-06-12 DOI:10.1057/s41302-022-00218-x
Ben Brewer, Karen Smith Conway, Deniz Ozabaci, Robert S Woodward
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引用次数: 0

Abstract

This research investigates the over-time stability of the aggregate US healthcare expenditure (HCE)-GDP relationship, focusing on periods of healthcare reforms. The most consequential reforms-Medicaid/Medicare and the Affordable Care Act (ACA)-are challenging to study because they occur near the ends of the available data. Using annual national- and state-level data and a battery of structural break tests, we find the HCE-GDP relationship to be overwhelmingly stable. An ancillary analysis around the 2006 Massachusetts healthcare reform, which avoids the confounding effects of the Great Recession and the staggered rollout of the ACA, likewise finds no change.

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美国医疗支出、GDP和医疗政策改革:来自样本末结构断裂检验的证据。
本研究调查了美国医疗保健总支出(HCE)-GDP关系的长期稳定性,重点关注医疗改革时期。最重要的改革——医疗补助/医疗保险和平价医疗法案(ACA)——研究起来很有挑战性,因为它们发生在可用数据的末尾。使用年度国家和州级数据和一系列结构断裂测试,我们发现HCE-GDP关系绝对稳定。对2006年马萨诸塞州医疗改革的一项辅助分析也同样没有发现任何变化,该改革避免了大衰退和ACA的交错推出带来的混淆效应。
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来源期刊
CiteScore
2.10
自引率
0.00%
发文量
27
期刊介绍: The Eastern Economic Journal, a quarterly publication of the Eastern Economic Association, was established in 1973. The EEJ publishes papers written from every perspective, in all areas of economics and is committed to free and open intellectual inquiry from diverse philosophical perspectives. It welcomes manuscripts that are methodological and philosophical as well as empirical and theoretical. Readability and general interest are major factors in publication decision.
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