scholarly journals Public and private health care utilization differences between socioeconomic strata in Jamaica

2010 ◽  
pp. 81 ◽  
Author(s):  
Paul Bourne
Keyword(s):  
Health Care ◽  
Health Care Utilization ◽  
Care Utilization ◽  
Private Health Care ◽  
Public And Private ◽  
Socioeconomic Strata

scholarly journals Health Care Spending and Utilization in Public and Private Medicare

2019 ◽  
Vol 11 (2) ◽  
pp. 302-332 ◽  
Author(s):  
Vilsa Curto ◽  
Liran Einav ◽  
Amy Finkelstein ◽  
Jonathan Levin ◽  
Jay Bhattacharya
Keyword(s):  
Health Care ◽  
Health Care Utilization ◽  
Claims Data ◽  
Care Utilization ◽  
Health Care Spending ◽  
Medicare Advantage ◽  
Public And Private ◽  
Present Evidence ◽  
Utilization Management ◽  
The Way

We compare health care spending in public and private Medicare using newly available claims data from Medicare Advantage (MA) insurers. MA insurer revenues are 30 percent higher than their health care spending. Adjusting for enrollee mix, health care spending per enrollee in MA is 9 to 30 percent lower than in Traditional Medicare (TM), depending on the way we define “comparable” enrollees. Spending differences primarily reflect differences in health care utilization, with similar reductions for “high-value” and “low-value” care, rather than health care prices. We present evidence consistent with MA plans encouraging substitution to less expensive care and engaging in utilization management. (JEL G22, H44, H51, I11, I13)

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