US Health care Expenditures, GDP and Health Policy Reforms: Evidence from End-of-Sample Structural Break Tests

被引:0
|
作者
Brewer, Ben [1 ]
Conway, Karen Smith [2 ]
Ozabaci, Deniz [2 ]
Woodward, Robert S. [2 ]
机构
[1] Univ Hartford, Hartford, CT 06117 USA
[2] Univ New Hampshire, Durham, NH 03824 USA
关键词
US health care expenditure; GDP; Income elasticity of health care; Multiple structural changes; UNIT-ROOT TESTS; INCOME ELASTICITY; COINTEGRATION; DETERMINANTS; STATIONARITY; INSTABILITY; LUXURY;
D O I
10.1057/s41302-022-00218-x
中图分类号
F [经济];
学科分类号
02 ;
摘要
This research investigates the over-time stability of the aggregate US healthcare expenditure (HCE)-GDP relationship, focusing on periods of healthcare reforms. The most consequential reforms-Medicaid/Medicare and the Affordable Care Act (ACA)-are challenging to study because they occur near the ends of the available data. Using annual national- and state-level data and a battery of structural break tests, we find the HCE-GDP relationship to be overwhelmingly stable. An ancillary analysis around the 2006 Massachusetts healthcare reform, which avoids the confounding effects of the Great Recession and the staggered rollout of the ACA, likewise finds no change.
引用
收藏
页码:451 / 487
页数:37
相关论文
共 50 条
  • [31] Priority access to health care: Evidence from an exogenous policy shock
    Yee, Christine A.
    Legler, Aaron
    Davies, Michael
    Prentice, Julia
    Pizer, Steven
    [J]. HEALTH ECONOMICS, 2020, 29 (03) : 306 - 323
  • [32] Impact of Environment, Life Expectancy and Real GDP per Capita on Health Expenditures: Evidence from the EU Member States
    Bayar, Yilmaz
    Gavriletea, Marius Dan
    Pintea, Mirela Oana
    Sechel, Ioana Cristina
    [J]. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, 2021, 18 (24)
  • [33] From research evidence to policy: mental health care in Viet Nam
    Harpham, T.
    Tuan, T.
    [J]. BULLETIN OF THE WORLD HEALTH ORGANIZATION, 2006, 84 (08) : 664 - 668
  • [35] OUT-OF-POCKET HEALTH EXPENDITURES RELATED TO PRENATAL CARE: EVIDENCE FROM COLOMBIA, 2018
    Alvis-Zakzuk, N.
    Gutierrez-Clavijo, J.
    Castillo-Rodriguez, L.
    Diaz-Jimenez, D.
    Chaparro-Narvaez, P.
    Castaneda-Orjuela, C.
    De La Hoz, F.
    [J]. VALUE IN HEALTH, 2020, 23 : S153 - S153
  • [36] Does industrial air pollution drive health care expenditures? Spatial evidence from China
    Zeng, Juying
    He, Qiuqin
    [J]. JOURNAL OF CLEANER PRODUCTION, 2019, 218 : 400 - 408
  • [37] The effect of HMOs on fee-for-service health care expenditures: evidence from medicare revisited
    Batata, A
    [J]. JOURNAL OF HEALTH ECONOMICS, 2004, 23 (05) : 951 - 963
  • [38] Health Care Expenditure and GDP in African Countries: Evidence from Semiparametric Estimation with Panel Data
    Lv, Zhike
    Zhu, Huiming
    [J]. SCIENTIFIC WORLD JOURNAL, 2014,
  • [39] The effect of the National Essential Medicines Policy on health expenditures and service delivery in Chinese township health centres: evidence from a longitudinal study
    Zhang, Xin
    Wu, Qunhong
    Liu, Guoxiang
    Li, Ye
    Gao, Lijun
    Guo, Bin
    Fu, Wenqi
    Hao, Yanhua
    Cui, Yu
    Huang, Weidong
    Coyte, Peter C.
    [J]. BMJ OPEN, 2014, 4 (12):
  • [40] Few US Public Health Schools Offer Courses on Palliative and End-of-Life Care Policy
    Lupu, Dale
    Deneszczuk, Caroline
    Leystra, Tara
    McKinnon, Rebecca
    Seng, Victoria
    [J]. JOURNAL OF PALLIATIVE MEDICINE, 2013, 16 (12) : 1582 - 1587