Medicaid and Service Use Among Homeless Adults

21 Pages Posted: 24 Jul 2000 Last revised: 4 Jan 2011

See all articles by Sherry Glied

Sherry Glied

Dean; National Bureau of Economic Research (NBER)

Christina Hoven

New York State Psychiatric Institute (NYSPI); Columbia University - Mailman School of Public Health

Robert Moore

New York State Psychiatric Institute (NYSPI); Columbia University - Mailman School of Public Health

A. Bowen Garrett

Urban Institute

Date Written: November 1996

Abstract

Expansions of Medicaid eligibility intend to improve access to care, and to shift care from emergency rooms and inpatient hospital care to more appropriate sites. We examine the effect of Medicaid recipiency on the level and site of medical service utilization using data from 1985 and 1987 surveys of New York City homeless single men and women. Simple regressions of Medicaid on the use of health services among homeless adults indicate that Medicaid significantly increases the likelihood that these individuals receive services, especially emergency and inpatient hospital services. We test this result in further analyses that control for health status, use instrumental variables procedures, and examine differences between a similar population in 1985 and 1987. These analyses suggest that Medicaid neither increases nor diminishes access to emergency rooms. We find some evidence that suggests that Medicaid does improve access to non-hospital medical care.

Suggested Citation

Glied, Sherry A. and Hoven, Christina and Moore, Robert and Garrett, A. Bowen, Medicaid and Service Use Among Homeless Adults (November 1996). NBER Working Paper No. w5834, Available at SSRN: https://ssrn.com/abstract=225620

Sherry A. Glied (Contact Author)

Dean ( email )

The Puck Building
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National Bureau of Economic Research (NBER)

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Christina Hoven

New York State Psychiatric Institute (NYSPI)

1051 Riverside Drive
New York, NY 10032
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Columbia University - Mailman School of Public Health

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New York, NY 10032
United States

Robert Moore

New York State Psychiatric Institute (NYSPI)

1051 Riverside Drive
New York, NY 10032
United States

Columbia University - Mailman School of Public Health

600 West 168th St., 6th Floor
New York, NY 10032
United States

A. Bowen Garrett

Urban Institute ( email )

500 L'Enfant Plaza SW
Washington, DC 20024
United States

HOME PAGE: http://www.urban.org/BowenGarrett

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