The Impact of Financial Assistance Programs on Health Care Utilization: Evidence from Kaiser Permanente.

IF 8.1 1区 经济学 Q1 ECONOMICS
Alyce Adams, Raymond Kluender, Neale Mahoney, Jinglin Wang, Francis Wong, Wesley Yin
{"title":"The Impact of Financial Assistance Programs on Health Care Utilization: Evidence from Kaiser Permanente.","authors":"Alyce Adams,&nbsp;Raymond Kluender,&nbsp;Neale Mahoney,&nbsp;Jinglin Wang,&nbsp;Francis Wong,&nbsp;Wesley Yin","doi":"10.1257/aeri.20210515","DOIUrl":null,"url":null,"abstract":"<p><p>Most hospitals have financial assistance programs for low-income patients. We use administrative data from Kaiser Permanente to study the effects of financial assistance on healthcare utilization. Using a regression discontinuity design based on an income threshold for program eligibility, we find that financial assistance increases the likelihood of an inpatient, ambulatory and emergency department encounter by 3.6 pp (59%), 13.4 pp (20%), and 6.7 pp (53%), respectively, though effects dissipate three quarters after program receipt. Financial assistance also increases the detection and management of treatment-sensitive conditions (e.g., drugs treating diabetes), suggesting financial assistance may increase receipt of high-value care.</p>","PeriodicalId":29954,"journal":{"name":"American Economic Review-Insights","volume":"4 3","pages":"389-407"},"PeriodicalIF":8.1000,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9634821/pdf/nihms-1816284.pdf","citationCount":"2","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"American Economic Review-Insights","FirstCategoryId":"96","ListUrlMain":"https://doi.org/10.1257/aeri.20210515","RegionNum":1,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"ECONOMICS","Score":null,"Total":0}
引用次数: 2

Abstract

Most hospitals have financial assistance programs for low-income patients. We use administrative data from Kaiser Permanente to study the effects of financial assistance on healthcare utilization. Using a regression discontinuity design based on an income threshold for program eligibility, we find that financial assistance increases the likelihood of an inpatient, ambulatory and emergency department encounter by 3.6 pp (59%), 13.4 pp (20%), and 6.7 pp (53%), respectively, though effects dissipate three quarters after program receipt. Financial assistance also increases the detection and management of treatment-sensitive conditions (e.g., drugs treating diabetes), suggesting financial assistance may increase receipt of high-value care.

财政援助计划对医疗保健利用的影响:来自凯撒医疗机构的证据。
大多数医院都有针对低收入患者的财政援助计划。我们使用Kaiser Permanente的行政数据来研究财政援助对医疗保健利用的影响。使用基于项目资格收入阈值的回归不连续设计,我们发现经济援助分别增加了住院、门诊和急诊科的可能性3.6 pp(59%)、13.4 pp(20%)和6.7 pp(53%),尽管效果在项目收到后消失了四分之三。财政援助还增加了对治疗敏感病症(例如,治疗糖尿病的药物)的发现和管理,这表明财政援助可能增加高价值护理的接受。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
自引率
0.00%
发文量
27
期刊介绍: The journal American Economic Review: Insights (AER: Insights) is a publication that caters to a wide audience interested in economics. It shares the same standards of quality and significance as the American Economic Review (AER) but focuses specifically on papers that offer important insights communicated concisely. AER: Insights releases four issues annually, covering a diverse range of topics in economics.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信