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.
机构:
VA Boston Healthcare Syst, Partnered Evidence Based Policy Resource Ctr, Boston, MA 02130 USA
Univ Maryland Baltimore Cty, Dept Econ, 1000 Hilltop Circle, Baltimore, MD 21250 USAVA Boston Healthcare Syst, Partnered Evidence Based Policy Resource Ctr, Boston, MA 02130 USA
Yee, Christine A.
Legler, Aaron
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机构:
VA Boston Healthcare Syst, Partnered Evidence Based Policy Resource Ctr, Boston, MA 02130 USA
Boston Univ, Sch Publ Hlth, Boston, MA USAVA Boston Healthcare Syst, Partnered Evidence Based Policy Resource Ctr, Boston, MA 02130 USA
Legler, Aaron
Davies, Michael
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机构:
US Dept Vet Affairs, Off Vet Access Care, Washington, DC USAVA Boston Healthcare Syst, Partnered Evidence Based Policy Resource Ctr, Boston, MA 02130 USA
Davies, Michael
Prentice, Julia
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机构:
VA Boston Healthcare Syst, Ctr Access Policy Evaluat & Res, Boston, MA USA
Boston Univ, Sch Med, Boston, MA 02118 USAVA Boston Healthcare Syst, Partnered Evidence Based Policy Resource Ctr, Boston, MA 02130 USA
Prentice, Julia
Pizer, Steven
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机构:
VA Boston Healthcare Syst, Partnered Evidence Based Policy Resource Ctr, Boston, MA 02130 USA
Boston Univ, Sch Publ Hlth, Boston, MA USAVA Boston Healthcare Syst, Partnered Evidence Based Policy Resource Ctr, Boston, MA 02130 USA
机构:
Zhejiang Univ Finance & Econ, Sch Data Sci, Hangzhou, Zhejiang, Peoples R ChinaZhejiang Univ Finance & Econ, Sch Data Sci, Hangzhou, Zhejiang, Peoples R China
Zeng, Juying
He, Qiuqin
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机构:
Chinese Acad Social Sci, Inst Quantitat & Tech Econ, Beijing, Peoples R ChinaZhejiang Univ Finance & Econ, Sch Data Sci, Hangzhou, Zhejiang, Peoples R China