Moral hazard in nursing home use:
Gespeichert in:
| Beteiligte Personen: | , |
|---|---|
| Format: | Buch |
| Sprache: | Englisch |
| Veröffentlicht: |
Cambridge, Mass.
National Bureau of Economic Research
2005
|
| Schriftenreihe: | National Bureau of Economic Research <Cambridge, Mass.>: NBER working paper series
11723 |
| Schlagwörter: | |
| Links: | http://papers.nber.org/papers/w11723.pdf |
| Abstract: | "Nursing home expenditures are a rapidly growing share of national health care spending with the government functioning as the dominant payer of services. Public insurance for nursing home care is tightly targeted on income and assets, which imposes a major tax on savings; moreover, low state reimbursement for Medicaid patients has been shown to lower treatment quality, and bed supply constraints may deny access to needy individuals. However, expanding eligibility, increasing Medicaid reimbursement, or allowing more nursing home bed slots has the potential to induce more nursing home use, increasing the social costs of long term care. A problem in evaluating this tradeoff is that we know remarkably little about the effects of government policy on nursing home utilization. We attempt to address this shortcoming using multiple waves of the National Long-Term Care Survey, matched to changing state Medicaid rules for nursing home care. We find consistent evidence of no effect of Medicaid policies on nursing home utilization, suggesting that demand for nursing home care is relatively inelastic. From a policy perspective, this finding indicates that changes in overall Medicaid generosity will not have large effects on utilization"--National Bureau of Economic Research web site. |
| Umfang: | 29 S. |
Internformat
MARC
| LEADER | 00000nam a2200000zcb4500 | ||
|---|---|---|---|
| 001 | BV023591746 | ||
| 003 | DE-604 | ||
| 005 | 20090625 | ||
| 007 | t| | ||
| 008 | 051214s2005 xxu |||| 00||| eng d | ||
| 035 | |a (OCoLC)62329767 | ||
| 035 | |a (DE-599)BVBBV023591746 | ||
| 040 | |a DE-604 |b ger | ||
| 041 | 0 | |a eng | |
| 044 | |a xxu |c XD-US | ||
| 049 | |a DE-521 |a DE-19 | ||
| 050 | 0 | |a HB1 | |
| 100 | 1 | |a Grabowski, David C. |e Verfasser |0 (DE-588)129313289 |4 aut | |
| 245 | 1 | 0 | |a Moral hazard in nursing home use |c David C. Grabowski ; Jonathan Gruber |
| 264 | 1 | |a Cambridge, Mass. |b National Bureau of Economic Research |c 2005 | |
| 300 | |a 29 S. | ||
| 336 | |b txt |2 rdacontent | ||
| 337 | |b n |2 rdamedia | ||
| 338 | |b nc |2 rdacarrier | ||
| 490 | 1 | |a National Bureau of Economic Research <Cambridge, Mass.>: NBER working paper series |v 11723 | |
| 520 | 3 | |a "Nursing home expenditures are a rapidly growing share of national health care spending with the government functioning as the dominant payer of services. Public insurance for nursing home care is tightly targeted on income and assets, which imposes a major tax on savings; moreover, low state reimbursement for Medicaid patients has been shown to lower treatment quality, and bed supply constraints may deny access to needy individuals. However, expanding eligibility, increasing Medicaid reimbursement, or allowing more nursing home bed slots has the potential to induce more nursing home use, increasing the social costs of long term care. A problem in evaluating this tradeoff is that we know remarkably little about the effects of government policy on nursing home utilization. We attempt to address this shortcoming using multiple waves of the National Long-Term Care Survey, matched to changing state Medicaid rules for nursing home care. We find consistent evidence of no effect of Medicaid policies on nursing home utilization, suggesting that demand for nursing home care is relatively inelastic. From a policy perspective, this finding indicates that changes in overall Medicaid generosity will not have large effects on utilization"--National Bureau of Economic Research web site. | |
| 650 | 4 | |a Politik | |
| 650 | 4 | |a Medicaid | |
| 650 | 4 | |a Nursing Homes |x economics |z United States | |
| 650 | 4 | |a Nursing Homes |x utilization |z United States | |
| 650 | 4 | |a Nursing homes |x Economic aspects |z United States | |
| 650 | 4 | |a Nursing homes |x Government policy |z United States | |
| 650 | 4 | |a Public Policy |z United States | |
| 651 | 4 | |a USA | |
| 700 | 1 | |a Gruber, Jonathan |d 1965- |e Verfasser |0 (DE-588)124510345 |4 aut | |
| 776 | 0 | 8 | |i Erscheint auch als |n Online-Ausgabe |
| 830 | 0 | |a National Bureau of Economic Research <Cambridge, Mass.>: NBER working paper series |v 11723 |w (DE-604)BV002801238 |9 11723 | |
| 856 | 4 | 1 | |u http://papers.nber.org/papers/w11723.pdf |z kostenfrei |3 Volltext |
| 943 | 1 | |a oai:aleph.bib-bvb.de:BVB01-016907076 | |
Datensatz im Suchindex
| _version_ | 1818965832894513152 |
|---|---|
| any_adam_object | |
| author | Grabowski, David C. Gruber, Jonathan 1965- |
| author_GND | (DE-588)129313289 (DE-588)124510345 |
| author_facet | Grabowski, David C. Gruber, Jonathan 1965- |
| author_role | aut aut |
| author_sort | Grabowski, David C. |
| author_variant | d c g dc dcg j g jg |
| building | Verbundindex |
| bvnumber | BV023591746 |
| callnumber-first | H - Social Science |
| callnumber-label | HB1 |
| callnumber-raw | HB1 |
| callnumber-search | HB1 |
| callnumber-sort | HB 11 |
| callnumber-subject | HB - Economic Theory and Demography |
| ctrlnum | (OCoLC)62329767 (DE-599)BVBBV023591746 |
| format | Book |
| fullrecord | <?xml version="1.0" encoding="UTF-8"?><collection xmlns="http://www.loc.gov/MARC21/slim"><record><leader>02872nam a2200433zcb4500</leader><controlfield tag="001">BV023591746</controlfield><controlfield tag="003">DE-604</controlfield><controlfield tag="005">20090625 </controlfield><controlfield tag="007">t|</controlfield><controlfield tag="008">051214s2005 xxu |||| 00||| eng d</controlfield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(OCoLC)62329767</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-599)BVBBV023591746</subfield></datafield><datafield tag="040" ind1=" " ind2=" "><subfield code="a">DE-604</subfield><subfield code="b">ger</subfield></datafield><datafield tag="041" ind1="0" ind2=" "><subfield code="a">eng</subfield></datafield><datafield tag="044" ind1=" " ind2=" "><subfield code="a">xxu</subfield><subfield code="c">XD-US</subfield></datafield><datafield tag="049" ind1=" " ind2=" "><subfield code="a">DE-521</subfield><subfield code="a">DE-19</subfield></datafield><datafield tag="050" ind1=" " ind2="0"><subfield code="a">HB1</subfield></datafield><datafield tag="100" ind1="1" ind2=" "><subfield code="a">Grabowski, David C.</subfield><subfield code="e">Verfasser</subfield><subfield code="0">(DE-588)129313289</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Moral hazard in nursing home use</subfield><subfield code="c">David C. Grabowski ; Jonathan Gruber</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="a">Cambridge, Mass.</subfield><subfield code="b">National Bureau of Economic Research</subfield><subfield code="c">2005</subfield></datafield><datafield tag="300" ind1=" " ind2=" "><subfield code="a">29 S.</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="b">n</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="b">nc</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="490" ind1="1" ind2=" "><subfield code="a">National Bureau of Economic Research <Cambridge, Mass.>: NBER working paper series</subfield><subfield code="v">11723</subfield></datafield><datafield tag="520" ind1="3" ind2=" "><subfield code="a">"Nursing home expenditures are a rapidly growing share of national health care spending with the government functioning as the dominant payer of services. Public insurance for nursing home care is tightly targeted on income and assets, which imposes a major tax on savings; moreover, low state reimbursement for Medicaid patients has been shown to lower treatment quality, and bed supply constraints may deny access to needy individuals. However, expanding eligibility, increasing Medicaid reimbursement, or allowing more nursing home bed slots has the potential to induce more nursing home use, increasing the social costs of long term care. A problem in evaluating this tradeoff is that we know remarkably little about the effects of government policy on nursing home utilization. We attempt to address this shortcoming using multiple waves of the National Long-Term Care Survey, matched to changing state Medicaid rules for nursing home care. We find consistent evidence of no effect of Medicaid policies on nursing home utilization, suggesting that demand for nursing home care is relatively inelastic. From a policy perspective, this finding indicates that changes in overall Medicaid generosity will not have large effects on utilization"--National Bureau of Economic Research web site.</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Politik</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Medicaid</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Nursing Homes</subfield><subfield code="x">economics</subfield><subfield code="z">United States</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Nursing Homes</subfield><subfield code="x">utilization</subfield><subfield code="z">United States</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Nursing homes</subfield><subfield code="x">Economic aspects</subfield><subfield code="z">United States</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Nursing homes</subfield><subfield code="x">Government policy</subfield><subfield code="z">United States</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Public Policy</subfield><subfield code="z">United States</subfield></datafield><datafield tag="651" ind1=" " ind2="4"><subfield code="a">USA</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Gruber, Jonathan</subfield><subfield code="d">1965-</subfield><subfield code="e">Verfasser</subfield><subfield code="0">(DE-588)124510345</subfield><subfield code="4">aut</subfield></datafield><datafield tag="776" ind1="0" ind2="8"><subfield code="i">Erscheint auch als</subfield><subfield code="n">Online-Ausgabe</subfield></datafield><datafield tag="830" ind1=" " ind2="0"><subfield code="a">National Bureau of Economic Research <Cambridge, Mass.>: NBER working paper series</subfield><subfield code="v">11723</subfield><subfield code="w">(DE-604)BV002801238</subfield><subfield code="9">11723</subfield></datafield><datafield tag="856" ind1="4" ind2="1"><subfield code="u">http://papers.nber.org/papers/w11723.pdf</subfield><subfield code="z">kostenfrei</subfield><subfield code="3">Volltext</subfield></datafield><datafield tag="943" ind1="1" ind2=" "><subfield code="a">oai:aleph.bib-bvb.de:BVB01-016907076</subfield></datafield></record></collection> |
| geographic | USA |
| geographic_facet | USA |
| id | DE-604.BV023591746 |
| illustrated | Not Illustrated |
| indexdate | 2024-12-20T13:23:17Z |
| institution | BVB |
| language | English |
| oai_aleph_id | oai:aleph.bib-bvb.de:BVB01-016907076 |
| oclc_num | 62329767 |
| open_access_boolean | 1 |
| owner | DE-521 DE-19 DE-BY-UBM |
| owner_facet | DE-521 DE-19 DE-BY-UBM |
| physical | 29 S. |
| publishDate | 2005 |
| publishDateSearch | 2005 |
| publishDateSort | 2005 |
| publisher | National Bureau of Economic Research |
| record_format | marc |
| series | National Bureau of Economic Research <Cambridge, Mass.>: NBER working paper series |
| series2 | National Bureau of Economic Research <Cambridge, Mass.>: NBER working paper series |
| spelling | Grabowski, David C. Verfasser (DE-588)129313289 aut Moral hazard in nursing home use David C. Grabowski ; Jonathan Gruber Cambridge, Mass. National Bureau of Economic Research 2005 29 S. txt rdacontent n rdamedia nc rdacarrier National Bureau of Economic Research <Cambridge, Mass.>: NBER working paper series 11723 "Nursing home expenditures are a rapidly growing share of national health care spending with the government functioning as the dominant payer of services. Public insurance for nursing home care is tightly targeted on income and assets, which imposes a major tax on savings; moreover, low state reimbursement for Medicaid patients has been shown to lower treatment quality, and bed supply constraints may deny access to needy individuals. However, expanding eligibility, increasing Medicaid reimbursement, or allowing more nursing home bed slots has the potential to induce more nursing home use, increasing the social costs of long term care. A problem in evaluating this tradeoff is that we know remarkably little about the effects of government policy on nursing home utilization. We attempt to address this shortcoming using multiple waves of the National Long-Term Care Survey, matched to changing state Medicaid rules for nursing home care. We find consistent evidence of no effect of Medicaid policies on nursing home utilization, suggesting that demand for nursing home care is relatively inelastic. From a policy perspective, this finding indicates that changes in overall Medicaid generosity will not have large effects on utilization"--National Bureau of Economic Research web site. Politik Medicaid Nursing Homes economics United States Nursing Homes utilization United States Nursing homes Economic aspects United States Nursing homes Government policy United States Public Policy United States USA Gruber, Jonathan 1965- Verfasser (DE-588)124510345 aut Erscheint auch als Online-Ausgabe National Bureau of Economic Research <Cambridge, Mass.>: NBER working paper series 11723 (DE-604)BV002801238 11723 http://papers.nber.org/papers/w11723.pdf kostenfrei Volltext |
| spellingShingle | Grabowski, David C. Gruber, Jonathan 1965- Moral hazard in nursing home use National Bureau of Economic Research <Cambridge, Mass.>: NBER working paper series Politik Medicaid Nursing Homes economics United States Nursing Homes utilization United States Nursing homes Economic aspects United States Nursing homes Government policy United States Public Policy United States |
| title | Moral hazard in nursing home use |
| title_auth | Moral hazard in nursing home use |
| title_exact_search | Moral hazard in nursing home use |
| title_full | Moral hazard in nursing home use David C. Grabowski ; Jonathan Gruber |
| title_fullStr | Moral hazard in nursing home use David C. Grabowski ; Jonathan Gruber |
| title_full_unstemmed | Moral hazard in nursing home use David C. Grabowski ; Jonathan Gruber |
| title_short | Moral hazard in nursing home use |
| title_sort | moral hazard in nursing home use |
| topic | Politik Medicaid Nursing Homes economics United States Nursing Homes utilization United States Nursing homes Economic aspects United States Nursing homes Government policy United States Public Policy United States |
| topic_facet | Politik Medicaid Nursing Homes economics United States Nursing Homes utilization United States Nursing homes Economic aspects United States Nursing homes Government policy United States Public Policy United States USA |
| url | http://papers.nber.org/papers/w11723.pdf |
| volume_link | (DE-604)BV002801238 |
| work_keys_str_mv | AT grabowskidavidc moralhazardinnursinghomeuse AT gruberjonathan moralhazardinnursinghomeuse |