High out-of-pocket health care spending by the elderly

Health Affairs
Dana P Goldman, Julie M Zissimopoulos

Abstract

We use data from the Health and Retirement Study to examine the elderly's out-of-pocket health care spending. We find that Medicare HMOs, employer supplements, and Medicaid effectively insulate against the risk of high expenditures. At the ninetieth percentile, Medicare beneficiaries with employer supplements or enrolled in Medicare HMOs spend 1,600 dollars less out of pocket than beneficiaries with traditional Medicare spend. For the poor elderly, Medicaid offers similar protection. Among the near-poor elderly, there is little employer coverage, so Medicare HMOs provide most of the protection against financial risk. There is evidence that Medicare HMO benefits have eroded since 1998, raising the question of whether the near-poor have lost financial protection since then.

References

Aug 1, 1997·The Gerontologist·J RogowskiR Kington
Dec 10, 1990·Journal of Health Economics·J R Wolfe, J H Goddeeris
Mar 10, 2001·Medical Care·E R CoxJ L Draugalis

❮ Previous
Next ❯

Citations

Jan 25, 2008·The New England Journal of Medicine·Amal N TrivediJohn Z Ayanian
Dec 2, 2008·Journal of Agromedicine·Deborah B ReedMei Zhang
Oct 13, 2009·Social Work in Public Health·Becky BriesacherStephan Soumerai
Aug 17, 2006·Journal of Palliative Medicine·Cheryl FahlmanMike Finch
Oct 24, 2009·Population Health Management·Yujing ShenLeonard Pogach
Jul 10, 2008·Journal of the National Cancer Institute·Elena B ElkinDeborah Schrag
Aug 13, 2010·International Journal for Equity in Health·Sandro CorrieriHans-Helmut König
Dec 2, 2009·The Journal of Economic Perspectives : a Journal of the American Economic Association·Jonathan Gruber, Helen Levy
Aug 4, 2010·Health Affairs·Marguerite BurnsMaureen Smith
Jan 1, 2012·Medicare & Medicaid Research Review·Siran M KoroukianGregory S Cooper
Mar 25, 2014·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Ilene H ZuckermanCandice Yong
Mar 31, 2007·American Journal of Public Health·Jennifer Prah Ruger, Hak-Ju Kim
Jun 1, 2005·Expert Review of Pharmacoeconomics & Outcomes Research·Usha SambamoorthiStephen Crystal
Jun 30, 2007·Social Science & Medicine·Donald H TaylorKaren Steinhauser
Aug 5, 2015·Contemporary Clinical Trials·Alex D FedermanUNKNOWN SAMBA investigators and development team:
Sep 3, 2013·Journal of Applied Econometrics·Dana Goldman, Nicole Maestas
May 24, 2014·Journal of the American Geriatrics Society·Lena M ChenArnold M Epstein
Jul 5, 2005·The International Journal of Health Planning and Management·Armando ArredondoEsteban De Icaza
Feb 11, 2015·Journal of General Internal Medicine·Shirley MusichCharlotte S Yeh
Sep 1, 2016·Fiscal Studies·Mariacristina De NardiJeremy McCauley
Jun 22, 2017·Journal of the American Geriatrics Society·S Ryan GreysenKenneth E Covinsky

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences
S CrystalR Kumar
Social Work in Public Health
Becky BriesacherStephan Soumerai
JAMA : the Journal of the American Medical Association
J Michael McWilliamsHaiden A Huskamp
© 2022 Meta ULC. All rights reserved