Medical Out - of - Pocket Spending Among the Uninsured : Differential Spending & the Supplemental Poverty Measure ∗
نویسنده
چکیده
This paper refines the treatment of Medical Out-of-Pocket (MOOP) spending among the uninsured in measuring poverty, and investigates its net effect on the Supplemental Poverty Measure (SPM). Unlike previous work, this research accounts for insurance coverage type in estimating counterfactual distributions of non-premium MOOP spending for the uninsured using predictive mean matching models. Additionally, this work considers an alternative counterfactual environment that accounts for the 2014 provisions of the Patient Protection and Affordable Care Act (PPACA) as it concerns premiums, premium subsidies, and the adult Medicaid expansion. Results show that the SPM poverty rates increase after implementing the spending adjustments for the uninsured compared to the “base” SPM, which incorporates only observed MOOP spending. The increase, however, is much lower in the case using the 2014 provisions of the PPACA.
منابع مشابه
The poverty-reducing effect of Medicaid.
Medicaid provides health insurance for 54 million Americans. Using the Census Bureau's Supplemental Poverty Measure (which subtracts out-of-pocket medical expenses from family resources), we estimated the impact of eliminating Medicaid. In our counterfactual, Medicaid beneficiaries would become uninsured or gain other insurance. Counterfactual medical expenditures were drawn stochastically from...
متن کاملMedical Out-of-Pocket Expenses, Poverty, and the Uninsured∗
The National Academy of Sciences (NAS) Panel on Poverty and Family Assistance argued that the current official U.S. poverty measure should be updated to capture changes in the population’s healthcare costs and needs; families with sufficiently high medical out-ofpocket (MOOP) expenditures may be ‘poor’ even though they are not counted as such. This research offers three distinct advances toward...
متن کاملOut-of-pocket health spending by poor and near-poor elderly Medicare beneficiaries.
OBJECTIVE To estimate out-of-pocket health care spending by lower-income Medicare beneficiaries, and to examine spending variations between those who receive Medicaid assistance and those who do not receive such aid. DATA SOURCES AND COLLECTION: 1993 Medicare Current Beneficiary Survey (MCBS) Cost and Use files, supplemented with data from the Bureau of the Census (Current Population Survey); t...
متن کاملHow the ACA's Health Insurance Expansions Have Affected Out-of-Pocket Cost-Sharing and Spending on Premiums.
One important benefit gained by the millions of Americans with health insurance through the Affordable Care Act (ACA) is protection from high out-of-pocket health spending. While Medicaid unambiguously reduces out-of-pocket premium and medical costs for low-income people, it is less certain that marketplace coverage and other types of insurance purchased to comply with the law's individual mand...
متن کاملProgress on impoverishing health spending in 122 countries: a retrospective observational study.
BACKGROUND The goal of universal health coverage (UHC) requires that families who get needed health care do not suffer financial hardship as a result. This can be measured by instances of impoverishment, when a household's consumption including out-of-pocket spending on health is more than the poverty line but its consumption, excluding out-of-pocket spending, is less than the poverty line. Thi...
متن کامل