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Utilization of Home Healthcare Service By Medicare-Medicaid Dual Eligibles

Shin, Ja Eun / Moon, Sangho

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Abstract

This study explores the characteristics of Medicare-only beneficiaries and Medicare-Medicaid dual eligibles in comparison, assess what factors determine the dual eligibility status, and examine the association between dual eligibility status and home healthcare service use. Using retrospective observational study of the U.S. 1996-2000 Medical Expenditure Panel Survey, we find that dual eligibles are disadvantaged in various personal characteristics compared to Medicare-only beneficiaries. The major predictors of dual eligibility status
are race/ethnicity, family income and health conditions. Dual eligibles are likely to use more of both paid and unpaid home healthcare service, and subsequently induce higher total expenditures on home healthcare. As dual eligible population may be one contributor to the rapid growth in utilization and spending on home healthcare service in Medicare and Medicaid programs, policy makers need to precisely assess the medical need among the beneficiaries to efficiently coordinate Medicare and Medicaid programs.

c 2005 Peking University Press

Issue Date
2005-05
Publisher
CEMA(Central University of Finance and Economics)
Keywords
Utilization; Healthcare
Citation
Annuals of Economics and Finance, v.6, no.1, pp.89 - 104, 2005
URL
http://aeconf.com/Articles/May2005/aef060106.pdf
Journal Title
Annuals of Economics and Finance
Start Page
89
End Page
104
ISSN
1529-737
Language
English
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