The Effects of Medicare on Medical Expenditure Risk and Financial Strain

A-Tier
Journal: American Economic Journal: Economic Policy
Year: 2015
Volume: 7
Issue: 4
Pages: 41-70

Authors (2)

Silvia Helena Barcellos (not in RePEc) Mireille Jacobson (University of Southern Califor...)

Score contribution per author:

2.011 = (α=2.01 / 2 authors) × 2.0x A-tier

α: calibrated so average coauthorship-adjusted count equals average raw count

Abstract

Medicare offers substantial protection from medical expenditure risk, protection that has increased in recent years. At age 65, out-of-pocket expenditures drop by 33 percent at the mean and 53 percent at the ninety-fifth percentile. Medical-related financial strain, such as difficulty paying bills and collections agency contact, is dramatically reduced. Nonetheless, using a stylized expected utility framework, the gain from reducing out-of-pocket expenditures accounts for only 18 percent of the social costs of financing Medicare. This calculation ignores any direct health benefits from Medicare or any indirect health effects due to reductions in financial stress. (JEL D14, H51, I13, I18, J14)

Technical Details

RePEc Handle
repec:aea:aejpol:v:7:y:2015:i:4:p:41-70
Journal Field
General
Author Count
2
Added to Database
2026-01-25