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。

IF 8.1 1区经济学 Q1 ECONOMICS

American Economic Review-Insights Pub Date : 2022-09-01 DOI:10.1257/aeri.20210515

Alyce Adams, Raymond Kluender, Neale Mahoney, Jinglin Wang, Francis Wong, Wesley Yin

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引用次数: 2

摘要

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。

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

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.

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来源期刊

American Economic Review-Insights ECONOMICS-

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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.