McAllen And El Paso revisited: Medicare variations not always reflected in the under-sixty-five population.
نویسندگان
چکیده
Medicare spending for the elderly is much higher in McAllen, Texas, than in El Paso, Texas, as reported in a 2009 New Yorker article by Atul Gawande. To investigate whether this disparity was present in the non-Medicare populations of those two cities, we obtained medical use and expense data for patients privately insured by Blue Cross and Blue Shield of Texas. In contrast to the Medicare population, the use of and spending per capita for medical services by privately insured populations in McAllen and El Paso was much less divergent, with some exceptions. For example, although spending per Medicare member per year was 86 percent higher in McAllen than in El Paso, total spending per member per year in McAllen was 7 percent lower than in El Paso for the population insured by Blue Cross and Blue Shield of Texas. We consider possible explanations but conclude that health care providers respond quite differently to incentives in Medicare compared to those in private insurance programs.
منابع مشابه
El Paso and Texas Border Cities Close the Gap in Per Capita Income - Crossroads, July 2012 - Dallas Fed
El Paso’s per capita income rose to $28,698 in 2010, or 71.9 percent of the U.S. level, marking another year of progress in bringing local per capita income closer to the U.S. average. Between 1969 and 2000, the city’s per capita income fell steadily relative to the rest of the country, slowly declining by about half a percentage point per year from 73.1 to 62.0 percent. In 2000, however, this ...
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عنوان ژورنال:
- Health affairs
دوره 29 12 شماره
صفحات -
تاریخ انتشار 2010