Does Health Status Explain Higher Medicare Costs of Medicaid Enrollees?
نویسندگان
چکیده
In this article, the authors present findings on differences in Medicare costs between elderly beneficiaries who are dually eligible for Medicare and Medicaid and other Medicare beneficiaries. Data from the Medicare Current Beneficiary Survey (MCBS) were used in the analysis. After controlling for health and functional-status differences, the higher Medicare costs of dually eligible persons, relative to other enrollees, was reduced from 282 percent to 45 percent.
منابع مشابه
The relative cost of Medicaid enrollees and the commercially insured in HMOs.
Under several national health care reform proposals in 1994, many Medicaid beneficiaries would have enrolled in health maintenance organizations (HMOs) with other persons. Several states already enroll Medicaid beneficiaries in HMOs with commercial enrollees. This DataWatch examines the cost of Medicaid enrollees in HMOs relative to the cost of commercial enrollees. Data from nine HMOs indicate...
متن کاملData View: Estimates of Dual and Full Medicaid Benefit Dual Enrollees, 1999
There is a clear need to develop better estimates of dual (Medicare and Medicaid) enrollees and the subpopulation of dual enrollees who receive full Medicaid benefits. Dual enrollees that may receive full Medicaid benefits include: qualified Medi-care beneficiaries (QMBs), specified low-income Medicare beneficiaries (SLMBs), and other dual beneficiaries—a group that includes medically needy/spe...
متن کاملHealth Status of Medicare Enrollees in HMOs and Fee-for-Service in 1994
We compared the health status of 863 health maintenance organization (HMO) enrollees with that of 4,576 non-enrollees, controlling for demographics and area of residence, using 1994 data from the Medicare Current Beneficiary Survey (MCBS). HMO respondents were less likely to report fair or poor health, functional impairment, or heart disease. Average predicted costs based on various health-stat...
متن کاملMigration patterns for Medicaid enrollees 2005-2007.
BACKGROUND Although Medicaid is a federal program, it is administered primarily by the states. Enrollees move from state to state, but their migration patterns have remained largely unknown. There are concerns about the possibility of enrollment gaps, lack of health insurance coverage, breaks in continuity of care, unmet need, risks to health status, and increased system-wide costs due to uncom...
متن کاملHealth insurance coverage among disabled Medicare enrollees
In this article, we use the Survey of Income and Program Participation to identify patterns of non-Medicare insurance coverage among disabled Medicare enrollees. Compared with the aged, the disabled are less likely to have private insurance coverage and more likely to have Medicaid. Probit analysis of the determinants of private insurance for disabled Medicare enrollees shows that income, educa...
متن کامل