The Effect of Universal Coverage on Health Expenditures for the Uninsured

Objectives. Universal coverage will trigger an increase in health-care spending, because the uninsured will use more services after they are insured. The effect of insurance status on expenditures is estimated here from a multivariate statistical model. Methods. The model is estimated with data from...

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Bibliographische Detailangaben
Veröffentlicht in:Medical Care. - Lippincott Williams & Wilkins, a business of Wolters Kluwer Health, 1963. - 35(1997), 2, Seite 95-113
1. Verfasser: Short, Pamela Farley (VerfasserIn)
Weitere Verfasser: Hahn, Beth A., Beauregard, Karen, Harvey, P. Holly, Wilets, Melissa Lemberg
Format: Online-Aufsatz
Sprache:English
Veröffentlicht: 1997
Zugriff auf das übergeordnete Werk:Medical Care
Schlagworte:Health-care reform Financing Uninsured
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520 |a Objectives. Universal coverage will trigger an increase in health-care spending, because the uninsured will use more services after they are insured. The effect of insurance status on expenditures is estimated here from a multivariate statistical model. Methods. The model is estimated with data from the 1987 National Medical Expenditure Survey, aged to 1994 using population projections from the US Bureau of the Census and expenditure projections from the Health Care Financing Administration. Results. Expenditures for the full-year uninsured increase by approximately $700 per person in 1994 as a result of universal coverage. Nearly half of the increase is because of a substantial increase in the likelihood of hospitalization. Conclusions. If the uninsured are enrolled in plans similar to those offered by employers currently, personal health-care spending increases by approximately $20 billion in 1994. There are other costs associated with universal coverage that are not included in this figure. 
540 |a Copyright 1997 Lippincott-Raven Publishers 
650 4 |a Health-care reform 
650 4 |a Financing 
650 4 |a Uninsured 
655 4 |a research-article 
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700 1 |a Harvey, P. Holly  |e verfasserin  |4 aut 
700 1 |a Wilets, Melissa Lemberg  |e verfasserin  |4 aut 
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