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Is fragmented financing bad for your health?

Authors
Type
Published Article
Journal
Inquiry : a journal of medical care organization, provision and financing
Publication Date
Volume
48
Issue
2
Pages
109–122
Identifiers
PMID: 21898983
Source
Medline
License
Unknown

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 Veterans Health Administration- 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 change of one standard deviation in financing fragmentation increases the risk of an adverse outcome by one-fifth.

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