Is Fragmented Financing Bad for Your Health?

Inquiry, Summer 2011

32 Pages Posted: 17 Aug 2008 Last revised: 13 May 2011

See all articles by Steven D. Pizer

Steven D. Pizer

Boston University - School of Public Health; Department of Veterans Affairs (VA)

John A. Gardner

U.S. Department of Veterans Affairs

Date Written: January 7, 2011

Abstract

Americans finance health care through a variety of private insurance plans and public programs. This organizational fragmentation could threaten continuity of care and adversely affect outcomes. Using a large sample of veterans who were eligible for mixtures of VA- and Medicare-financed care, we estimate a system of equations to account for simultaneity in the determination of financing configuration and the probability of hospitalization for an ambulatory care sensitive condition. We find that a one standard deviation change in financing fragmentation increases the risk of an adverse outcome by one fifth.

Keywords: Health Insurance, Health Outcomes, Selection Models

JEL Classification: I12, I18

Suggested Citation

Pizer, Steven D. and Gardner, John A., Is Fragmented Financing Bad for Your Health? (January 7, 2011). Inquiry, Summer 2011, Available at SSRN: https://ssrn.com/abstract=1226522

Steven D. Pizer (Contact Author)

Boston University - School of Public Health ( email )

150 S. Huntington Ave.
Mail Stop 152H
Boston, MA 02130
United States
857-364-6061 (Phone)
857-364-4511 (Fax)

HOME PAGE: http://www.hcfe.research.va.gov

Department of Veterans Affairs (VA)

810 Vermont Avenue NW
Washington, DC 20420
United States

John A. Gardner

U.S. Department of Veterans Affairs ( email )

150 S. Huntington Ave.
Mail Stop 152H
Boston, MA 02130
United States

Here is the Coronavirus
related research on SSRN

Paper statistics

Downloads
249
Abstract Views
1,685
rank
137,864
PlumX Metrics