American Journal of Health Economics最新文献_第9页

Immigration Enforcement and Infant Health 移民执法和婴儿健康

IF 3.7 2区经济学

American Journal of Health Economics Pub Date : 2020-12-07 DOI: 10.1086/718510

Catalina Amuedo‐Dorantes, Brandyn F. Churchill, Yang Song

引用次数: 4

Reducing Readmissions by Addressing the Social Determinants of Health 通过解决健康的社会决定因素减少再入院人数

IF 3.7 2区经济学

American Journal of Health Economics Pub Date : 2020-09-23 DOI: 10.1086/711725

W. Evans, Sarah Kroeger, Elizabeth L Munnich, Grace Ortuzar, Kathryn L. Wagner

{"title":"Reducing Readmissions by Addressing the Social Determinants of Health","authors":"W. Evans, Sarah Kroeger, Elizabeth L Munnich, Grace Ortuzar, Kathryn L. Wagner","doi":"10.1086/711725","DOIUrl":"https://doi.org/10.1086/711725","url":null,"abstract":"Hospital readmissions generate enormous costs and are the subject of increased scrutiny among US lawmakers. The Affordable Care Act created the Community-Based Care Transitions Program (CCTP) to test models for improving care transitions after hospital discharge with the goal of reducing 30-day Medicare hospital readmission rates by 20 percent. Few of these demonstrations showed sustained reductions in readmission rates. In contrast to more traditional medically focused programs, the Chicago Southland Coalition for Transition Care (CSCTC) utilized social workers solely to manage care transitions in an effort to address nonmedical obstacles to recovery. Using a difference-in-differences model and the census of Medicare discharges over the 2010–15 period, we evaluate the impact of this program. We select as a comparison group hospitals in the Chicago area with similar pretreatment trends in readmission rates and total discharges. Treatment-on-treated estimates indicate that the CSCTC program reduced 30-, 60-, and 90-day readmission rates by a statistically significant 14 percent or more of the sample mean, and reduced readmission costs an amount equal to CSCTC program cost. Effects are driven by black and Hispanic patients as well as those with dual eligibility for both Medicare and Medicaid.","PeriodicalId":45056,"journal":{"name":"American Journal of Health Economics","volume":"7 1","pages":"1 - 40"},"PeriodicalIF":3.7,"publicationDate":"2020-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1086/711725","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42460875","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 11

Children’s Education and Parental Health 儿童教育与父母健康

IF 3.7 2区经济学

American Journal of Health Economics Pub Date : 2020-09-22 DOI: 10.1086/711704

Zhiqiang Liu

引用次数: 2

Policy-Induced Substitution to Illicit Drugs and Implications for Law Enforcement Activity 政策诱导的非法药物替代及其对执法活动的影响

IF 3.7 2区经济学

American Journal of Health Economics Pub Date : 2020-09-21 DOI: 10.1086/716462

Justine Mallatt

引用次数: 15

The Impact of the ACA Medicaid Expansion on Disability Program Applications ACA医疗补助扩大对残疾项目申请的影响

IF 3.7 2区经济学

American Journal of Health Economics Pub Date : 2020-09-16 DOI: 10.1086/710525

Lucie Schmidt, Lara D. Shore-Sheppard, Tara Watson

引用次数: 0

Learning By Suffering? 在痛苦中学习？

IF 3.7 2区经济学

American Journal of Health Economics Pub Date : 2020-09-09 DOI: 10.1086/711564

G. Jin, Thomas G. Koch

引用次数: 5

Are Doctors Better Health Ministers? 医生是更好的卫生部长吗？

IF 3.7 2区经济学

American Journal of Health Economics Pub Date : 2020-09-01 DOI: 10.1086/710331

Adam Pilny, Felix Roesel

引用次数: 6

The Effects of Medicare Payment Changes on Nursing Home Staffing 医疗保险支付变化对养老院人员配置的影响

IF 3.7 2区经济学

American Journal of Health Economics Pub Date : 2020-09-01 DOI: 10.1086/710563

Daifeng He, Peter McHenry, J. Mellor

引用次数: 3

Exploiting Incomplete Information in Risk Adjustment Using Constrained Regression 利用约束回归挖掘风险调整中的不完全信息

IF 3.7 2区经济学

American Journal of Health Economics Pub Date : 2020-09-01 DOI: 10.1086/710526

R. V. van Kleef, F. Eijkenaar, R. van Vliet, M. Nielen

{"title":"Exploiting Incomplete Information in Risk Adjustment Using Constrained Regression","authors":"R. V. van Kleef, F. Eijkenaar, R. van Vliet, M. Nielen","doi":"10.1086/710526","DOIUrl":"https://doi.org/10.1086/710526","url":null,"abstract":"Health insurance markets with regulated premiums typically include risk adjustment (RA) to mitigate selection incentives. Even the most sophisticated RA models, however, tend to undercompensate (overcompensate) insurers for people in poor (good) health. One reason RA models are imperfect is that some predictors cannot serve as risk adjustor because they are not available for the entire population. This paper applies an indirect method to exploit such predictive information: constrained regression. Our focus is on the Netherlands where morbidity data from general practitioners (GPs) are available for only around 10 percent of the population. We combine this incomplete sample with complete data (N=16.7 million) on spending and risk adjustors. In a first step, we find that GP morbidity data are predictive net of the Dutch RA model. In a second step, we use the GP morbidity data to impose constraints on the coefficients of the RA model. This results in more RA funds being sent to undercompensated groups. Using a split-sample approach, we simulate two constrained regression models and compare the outcomes to those of an unconstrained model. Our findings indicate that constrained regression can be a useful tool to exploit predictive information that is available for only a sample of the population.","PeriodicalId":45056,"journal":{"name":"American Journal of Health Economics","volume":"6 1","pages":"477 - 497"},"PeriodicalIF":3.7,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1086/710526","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45321859","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

The Extent of Externalities from Medicare Payment Policy 医疗保险支付政策的外部性程度

IF 3.7 2区经济学

American Journal of Health Economics Pub Date : 2020-08-05 DOI: 10.1086/718769

Alice Chen, Michael R Richards, C. Whaley, Xiaoxi Zhao

{"title":"The Extent of Externalities from Medicare Payment Policy","authors":"Alice Chen, Michael R Richards, C. Whaley, Xiaoxi Zhao","doi":"10.1086/718769","DOIUrl":"https://doi.org/10.1086/718769","url":null,"abstract":"Medicare accounts for roughly 20 percent of medical expenditures in the United States and is the dominant payer for many treatments. Consequently, Medicare payment policy may have diffuse consequences. Using a contemporary bundled payment reform (the “CJR” program) and a difference-in-differences research design, we estimate Medicare’s spillover reach. We find that altered treatment decisions for targeted joint replacement procedures are closely, though not perfectly, mirrored between traditional Medicare, Medicare Advantage, and the nonelderly commercially insured populations. Results for untargeted procedures performed by CJR-affected physicians also show suggestive evidence consistent with a secondary spillover effect; however, this behavior change does not extend to less related procedures. Our findings align with the “norms hypothesis” for physician decision making but do not imply rigid and uniform treatment choices. Instead, key decision nodes appear to gain greater salience under Medicare’s new incentive structure, which leads to revised treatment choices for different payer-procedure combinations. Ignoring the breadth of externalities from Medicare policies risks understating their social welfare impact.","PeriodicalId":45056,"journal":{"name":"American Journal of Health Economics","volume":"8 1","pages":"181 - 215"},"PeriodicalIF":3.7,"publicationDate":"2020-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45851463","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3