Abstract #300184


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JSM 2002 Abstract #300184
Activity Number: 345
Type: Topic Contributed
Date/Time: Wednesday, August 14, 2002 : 2:00 PM to 3:50 PM
Sponsor: Section on Health Policy Statistics*
Abstract - #300184
Title: Persistence in Health Expenditures in the Short Run: Prevalence and Consequences
Author(s): Alan Monheit*+
Affiliation(s): Agency for Healthcare Research and Quality
Address: 2101 E. Jefferson St., Suite 500, Rockville, Maryland, 20852, USA
Keywords:
Abstract:

National household data on U.S. health care expenditures reveal a highly skewed expenditure distribution, with a relatively small proportion of the persons accounting for a substantial share of aggregate expenditures. While the distribution and concentration of health care expenditures has remained relatively stable in independent cross-sectional surveys, we have little sense of whether the persons occupying the top percentiles of the distribution remain there or move downward over time. Understanding such dynamics is fundamental to sustaining competitive insurance markets and to equitable and efficient health plan payment policies. Using data from a longitudinal panel of the 1996/97 Medical Expenditure Panel Survey, this paper considers the short-run persistence of health expenditures and its implications for household welfare.


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