Impact of Medicare Age Eligibility on Health Spending among U.S. and Foreign-Born Adults
Objective Examine differences in health care expenditures between foreign‐born and U.S.‐born adults in late mid‐life, and how these differences change after age 65, when Medicare is near‐universal. Data Medical Expenditures Panel Survey data (2000–2010) on adults ages 55–75 years (n = 46,132) to exa...
Gespeichert in:
| Veröffentlicht in: | Health services research 2016-06, Vol.51 (3), p.846-871 |
|---|---|
| Hauptverfasser: | , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 871 |
|---|---|
| container_issue | 3 |
| container_start_page | 846 |
| container_title | Health services research |
| container_volume | 51 |
| creator | Tarraf, Wassim Jensen, Gail A. González, Hector M. |
| description | Objective
Examine differences in health care expenditures between foreign‐born and U.S.‐born adults in late mid‐life, and how these differences change after age 65, when Medicare is near‐universal.
Data
Medical Expenditures Panel Survey data (2000–2010) on adults ages 55–75 years (n = 46,132) to examine annual total and payer‐specific expenditures.
Study Design
We use (1) propensity score matching to generate quasi‐experimental samples with equivalent health needs and health care preferences, (2) generalized linear modeling to estimate group differences in expenditures, and (3) bootstrapping methods to obtain variance estimates for significance testing.
Principal Findings
Among adults ages 55–64, the foreign‐born spend $3,314 (p |
| doi_str_mv | 10.1111/1475-6773.12402 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_4874820</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A454361539</galeid><sourcerecordid>A454361539</sourcerecordid><originalsourceid>FETCH-LOGICAL-c7512-a56bcb1eae2aa52740b688ecfee1f8cdb87bcd3a91a30b74452e4dc622dce4e33</originalsourceid><addsrcrecordid>eNqFkt9v0zAQxyMEYmPwzBuKhIRAIp2dOIn7gtRVXTup3QRlsDfLcS6pN8cucQL0v8f9sapBFTiSLZ0_98357ut5rzHqYbfOMUnjIEnTqIdDgsIn3uk-8tQ7RQinQd_dnHgvrL1HCNGIkufeSZgQmqKInnp3V9WSi8Y3hT-DXApegz8owR8pWcpMKtmsfKP9CXDVLPz5EnQudenzyrj9tjfv-Vzn_qWpQZY6uDC19gd5qxr70ntWcGXh1e48824vR1-Hk2B6M74aDqaBSGMcBjxOMpFh4BByHocpQVlCKYgCABdU5BlNM5FHvI95hLKUkDgEkoskDHMBBKLozPu01V22WQUuqJuaK7asZcXrFTNcsu6NlgtWmp_MdYDQEDmB9zuB2vxowTasklaAUlyDaS3DaR-RBFFKHPr2L_TetLV2z9tQGJMEH1AlV8CkLoz7r1iLsgGJSZTgOOo7KjhClaDBFWk0FNKFO3zvCO--HCopjiZ86CQ4poHfTclbaxkdT_9VzI4VRikogbmBDW-6_LsDfrExhzWqbaTRtgt-PACz1koN1m1WlovGbmvp4OdbXNTG2hqK_RwxYmvDs7W92drebGN4l_HmcPx7_tHhDki2wC_Xn9X_9NhkNP_yqLzribSuF_tEXj84PnJZ36_HbE5nn-8uvl2zWfQHc1gUqg</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1790114614</pqid></control><display><type>article</type><title>Impact of Medicare Age Eligibility on Health Spending among U.S. and Foreign-Born Adults</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><source>PubMed Central</source><source>Alma/SFX Local Collection</source><creator>Tarraf, Wassim ; Jensen, Gail A. ; González, Hector M.</creator><creatorcontrib>Tarraf, Wassim ; Jensen, Gail A. ; González, Hector M.</creatorcontrib><description>Objective
Examine differences in health care expenditures between foreign‐born and U.S.‐born adults in late mid‐life, and how these differences change after age 65, when Medicare is near‐universal.
Data
Medical Expenditures Panel Survey data (2000–2010) on adults ages 55–75 years (n = 46,132) to examine annual total and payer‐specific expenditures.
Study Design
We use (1) propensity score matching to generate quasi‐experimental samples with equivalent health needs and health care preferences, (2) generalized linear modeling to estimate group differences in expenditures, and (3) bootstrapping methods to obtain variance estimates for significance testing.
Principal Findings
Among adults ages 55–64, the foreign‐born spend $3,314 (p < .001) less on health care, even when they have equivalent health needs and health care preferences. This difference is due mainly to lower spending through private insurance. After age 65, differences in total spending disappear but not differences in payer‐specific spending. The foreign‐born continue to spend significantly less through private insurance and begin to spend significantly more through Medicare and Medicaid.
Conclusion
Foreign‐born adults in late mid‐life spend significantly less on health care than U.S.‐born adults. After age 65, with near‐universal Medicare coverage, differences in total spending disappear between the groups, although differences in spending by payer persist.</description><identifier>ISSN: 0017-9124</identifier><identifier>EISSN: 1475-6773</identifier><identifier>DOI: 10.1111/1475-6773.12402</identifier><identifier>PMID: 26487038</identifier><identifier>CODEN: HESEA5</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>Activities of daily living ; Adults ; Age ; Age differences ; Aged ; Analysis ; Bootstrap method ; Bootstrap methods ; Comparative analysis ; Coverage ; disparities ; Eligibility ; Emigrants and Immigrants - statistics & numerical data ; Equivalence ; Expenditures ; Female ; Financing, Personal - statistics & numerical data ; Government programs ; Health care ; Health care costs ; Health care disparities ; Health care expenditures ; health expenditures ; Health Expenditures - statistics & numerical data ; Health insurance ; Health needs ; Health Policy Impact ; Health Status ; Humans ; immigrant health care ; Immigrants ; Insurance ; Insurance Coverage - economics ; Insurance, Health - economics ; Male ; Medicaid ; Medicaid - statistics & numerical data ; Medical care, Cost of ; Medicare ; Medicare - statistics & numerical data ; Middle age ; Middle Aged ; Models, Econometric ; Noncitizens ; Socioeconomic Factors ; Studies ; Surveys ; United States</subject><ispartof>Health services research, 2016-06, Vol.51 (3), p.846-871</ispartof><rights>Health Research and Educational Trust</rights><rights>Health Research and Educational Trust.</rights><rights>COPYRIGHT 2016 Health Research and Educational Trust</rights><rights>COPYRIGHT 2016 Health Research and Educational Trust</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c7512-a56bcb1eae2aa52740b688ecfee1f8cdb87bcd3a91a30b74452e4dc622dce4e33</citedby><cites>FETCH-LOGICAL-c7512-a56bcb1eae2aa52740b688ecfee1f8cdb87bcd3a91a30b74452e4dc622dce4e33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4874820/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4874820/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,725,778,782,883,1414,27907,27908,30982,45557,45558,53774,53776</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26487038$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tarraf, Wassim</creatorcontrib><creatorcontrib>Jensen, Gail A.</creatorcontrib><creatorcontrib>González, Hector M.</creatorcontrib><title>Impact of Medicare Age Eligibility on Health Spending among U.S. and Foreign-Born Adults</title><title>Health services research</title><addtitle>Health Serv Res</addtitle><description>Objective
Examine differences in health care expenditures between foreign‐born and U.S.‐born adults in late mid‐life, and how these differences change after age 65, when Medicare is near‐universal.
Data
Medical Expenditures Panel Survey data (2000–2010) on adults ages 55–75 years (n = 46,132) to examine annual total and payer‐specific expenditures.
Study Design
We use (1) propensity score matching to generate quasi‐experimental samples with equivalent health needs and health care preferences, (2) generalized linear modeling to estimate group differences in expenditures, and (3) bootstrapping methods to obtain variance estimates for significance testing.
Principal Findings
Among adults ages 55–64, the foreign‐born spend $3,314 (p < .001) less on health care, even when they have equivalent health needs and health care preferences. This difference is due mainly to lower spending through private insurance. After age 65, differences in total spending disappear but not differences in payer‐specific spending. The foreign‐born continue to spend significantly less through private insurance and begin to spend significantly more through Medicare and Medicaid.
Conclusion
Foreign‐born adults in late mid‐life spend significantly less on health care than U.S.‐born adults. After age 65, with near‐universal Medicare coverage, differences in total spending disappear between the groups, although differences in spending by payer persist.</description><subject>Activities of daily living</subject><subject>Adults</subject><subject>Age</subject><subject>Age differences</subject><subject>Aged</subject><subject>Analysis</subject><subject>Bootstrap method</subject><subject>Bootstrap methods</subject><subject>Comparative analysis</subject><subject>Coverage</subject><subject>disparities</subject><subject>Eligibility</subject><subject>Emigrants and Immigrants - statistics & numerical data</subject><subject>Equivalence</subject><subject>Expenditures</subject><subject>Female</subject><subject>Financing, Personal - statistics & numerical data</subject><subject>Government programs</subject><subject>Health care</subject><subject>Health care costs</subject><subject>Health care disparities</subject><subject>Health care expenditures</subject><subject>health expenditures</subject><subject>Health Expenditures - statistics & numerical data</subject><subject>Health insurance</subject><subject>Health needs</subject><subject>Health Policy Impact</subject><subject>Health Status</subject><subject>Humans</subject><subject>immigrant health care</subject><subject>Immigrants</subject><subject>Insurance</subject><subject>Insurance Coverage - economics</subject><subject>Insurance, Health - economics</subject><subject>Male</subject><subject>Medicaid</subject><subject>Medicaid - statistics & numerical data</subject><subject>Medical care, Cost of</subject><subject>Medicare</subject><subject>Medicare - statistics & numerical data</subject><subject>Middle age</subject><subject>Middle Aged</subject><subject>Models, Econometric</subject><subject>Noncitizens</subject><subject>Socioeconomic Factors</subject><subject>Studies</subject><subject>Surveys</subject><subject>United States</subject><issn>0017-9124</issn><issn>1475-6773</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>N95</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkt9v0zAQxyMEYmPwzBuKhIRAIp2dOIn7gtRVXTup3QRlsDfLcS6pN8cucQL0v8f9sapBFTiSLZ0_98357ut5rzHqYbfOMUnjIEnTqIdDgsIn3uk-8tQ7RQinQd_dnHgvrL1HCNGIkufeSZgQmqKInnp3V9WSi8Y3hT-DXApegz8owR8pWcpMKtmsfKP9CXDVLPz5EnQudenzyrj9tjfv-Vzn_qWpQZY6uDC19gd5qxr70ntWcGXh1e48824vR1-Hk2B6M74aDqaBSGMcBjxOMpFh4BByHocpQVlCKYgCABdU5BlNM5FHvI95hLKUkDgEkoskDHMBBKLozPu01V22WQUuqJuaK7asZcXrFTNcsu6NlgtWmp_MdYDQEDmB9zuB2vxowTasklaAUlyDaS3DaR-RBFFKHPr2L_TetLV2z9tQGJMEH1AlV8CkLoz7r1iLsgGJSZTgOOo7KjhClaDBFWk0FNKFO3zvCO--HCopjiZ86CQ4poHfTclbaxkdT_9VzI4VRikogbmBDW-6_LsDfrExhzWqbaTRtgt-PACz1koN1m1WlovGbmvp4OdbXNTG2hqK_RwxYmvDs7W92drebGN4l_HmcPx7_tHhDki2wC_Xn9X_9NhkNP_yqLzribSuF_tEXj84PnJZ36_HbE5nn-8uvl2zWfQHc1gUqg</recordid><startdate>201606</startdate><enddate>201606</enddate><creator>Tarraf, Wassim</creator><creator>Jensen, Gail A.</creator><creator>González, Hector M.</creator><general>Blackwell Publishing Ltd</general><general>Health Research and Educational Trust</general><general>John Wiley and Sons Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>N95</scope><scope>XI7</scope><scope>8GL</scope><scope>7QJ</scope><scope>K9.</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>201606</creationdate><title>Impact of Medicare Age Eligibility on Health Spending among U.S. and Foreign-Born Adults</title><author>Tarraf, Wassim ; Jensen, Gail A. ; González, Hector M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c7512-a56bcb1eae2aa52740b688ecfee1f8cdb87bcd3a91a30b74452e4dc622dce4e33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Activities of daily living</topic><topic>Adults</topic><topic>Age</topic><topic>Age differences</topic><topic>Aged</topic><topic>Analysis</topic><topic>Bootstrap method</topic><topic>Bootstrap methods</topic><topic>Comparative analysis</topic><topic>Coverage</topic><topic>disparities</topic><topic>Eligibility</topic><topic>Emigrants and Immigrants - statistics & numerical data</topic><topic>Equivalence</topic><topic>Expenditures</topic><topic>Female</topic><topic>Financing, Personal - statistics & numerical data</topic><topic>Government programs</topic><topic>Health care</topic><topic>Health care costs</topic><topic>Health care disparities</topic><topic>Health care expenditures</topic><topic>health expenditures</topic><topic>Health Expenditures - statistics & numerical data</topic><topic>Health insurance</topic><topic>Health needs</topic><topic>Health Policy Impact</topic><topic>Health Status</topic><topic>Humans</topic><topic>immigrant health care</topic><topic>Immigrants</topic><topic>Insurance</topic><topic>Insurance Coverage - economics</topic><topic>Insurance, Health - economics</topic><topic>Male</topic><topic>Medicaid</topic><topic>Medicaid - statistics & numerical data</topic><topic>Medical care, Cost of</topic><topic>Medicare</topic><topic>Medicare - statistics & numerical data</topic><topic>Middle age</topic><topic>Middle Aged</topic><topic>Models, Econometric</topic><topic>Noncitizens</topic><topic>Socioeconomic Factors</topic><topic>Studies</topic><topic>Surveys</topic><topic>United States</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tarraf, Wassim</creatorcontrib><creatorcontrib>Jensen, Gail A.</creatorcontrib><creatorcontrib>González, Hector M.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale Business: Insights</collection><collection>Business Insights: Essentials</collection><collection>Gale In Context: High School</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Health services research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tarraf, Wassim</au><au>Jensen, Gail A.</au><au>González, Hector M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of Medicare Age Eligibility on Health Spending among U.S. and Foreign-Born Adults</atitle><jtitle>Health services research</jtitle><addtitle>Health Serv Res</addtitle><date>2016-06</date><risdate>2016</risdate><volume>51</volume><issue>3</issue><spage>846</spage><epage>871</epage><pages>846-871</pages><issn>0017-9124</issn><eissn>1475-6773</eissn><coden>HESEA5</coden><abstract>Objective
Examine differences in health care expenditures between foreign‐born and U.S.‐born adults in late mid‐life, and how these differences change after age 65, when Medicare is near‐universal.
Data
Medical Expenditures Panel Survey data (2000–2010) on adults ages 55–75 years (n = 46,132) to examine annual total and payer‐specific expenditures.
Study Design
We use (1) propensity score matching to generate quasi‐experimental samples with equivalent health needs and health care preferences, (2) generalized linear modeling to estimate group differences in expenditures, and (3) bootstrapping methods to obtain variance estimates for significance testing.
Principal Findings
Among adults ages 55–64, the foreign‐born spend $3,314 (p < .001) less on health care, even when they have equivalent health needs and health care preferences. This difference is due mainly to lower spending through private insurance. After age 65, differences in total spending disappear but not differences in payer‐specific spending. The foreign‐born continue to spend significantly less through private insurance and begin to spend significantly more through Medicare and Medicaid.
Conclusion
Foreign‐born adults in late mid‐life spend significantly less on health care than U.S.‐born adults. After age 65, with near‐universal Medicare coverage, differences in total spending disappear between the groups, although differences in spending by payer persist.</abstract><cop>United States</cop><pub>Blackwell Publishing Ltd</pub><pmid>26487038</pmid><doi>10.1111/1475-6773.12402</doi><tpages>26</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0017-9124 |
| ispartof | Health services research, 2016-06, Vol.51 (3), p.846-871 |
| issn | 0017-9124 1475-6773 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_4874820 |
| source | MEDLINE; Wiley Online Library Journals Frontfile Complete; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Applied Social Sciences Index & Abstracts (ASSIA); PubMed Central; Alma/SFX Local Collection |
| subjects | Activities of daily living Adults Age Age differences Aged Analysis Bootstrap method Bootstrap methods Comparative analysis Coverage disparities Eligibility Emigrants and Immigrants - statistics & numerical data Equivalence Expenditures Female Financing, Personal - statistics & numerical data Government programs Health care Health care costs Health care disparities Health care expenditures health expenditures Health Expenditures - statistics & numerical data Health insurance Health needs Health Policy Impact Health Status Humans immigrant health care Immigrants Insurance Insurance Coverage - economics Insurance, Health - economics Male Medicaid Medicaid - statistics & numerical data Medical care, Cost of Medicare Medicare - statistics & numerical data Middle age Middle Aged Models, Econometric Noncitizens Socioeconomic Factors Studies Surveys United States |
| title | Impact of Medicare Age Eligibility on Health Spending among U.S. and Foreign-Born Adults |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-16T21%3A03%3A59IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Impact%20of%20Medicare%20Age%20Eligibility%20on%20Health%20Spending%20among%20U.S.%20and%20Foreign-Born%20Adults&rft.jtitle=Health%20services%20research&rft.au=Tarraf,%20Wassim&rft.date=2016-06&rft.volume=51&rft.issue=3&rft.spage=846&rft.epage=871&rft.pages=846-871&rft.issn=0017-9124&rft.eissn=1475-6773&rft.coden=HESEA5&rft_id=info:doi/10.1111/1475-6773.12402&rft_dat=%3Cgale_pubme%3EA454361539%3C/gale_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1790114614&rft_id=info:pmid/26487038&rft_galeid=A454361539&rfr_iscdi=true |