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Insurance effects on US medical spending (1960–1993)
Author(s) -
Peden Edgar A.,
Freeland Mark S.
Publication year - 1998
Publication title -
health economics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.55
H-Index - 109
eISSN - 1099-1050
pISSN - 1057-9230
DOI - 10.1002/(sici)1099-1050(199812)7:8<671::aid-hec379>3.0.co;2-9
Subject(s) - economics , health spending , per capita , medical insurance , demographic economics , actuarial science , health insurance , health care , economic growth , demography , population , sociology
Regression results show that nearly half of 1960–1993 growth in real per capita medical spending and almost two‐thirds of its 1983–1993 growth were due to ever‐increasing levels of insurance coverage (the spending portion paid by third parties). Growth in coverage may have played a minor part as well; we would not rule out the standard finding that it has had a positive but relatively small effect. Viewed from a different perspective, the results imply that about two‐thirds of 1960–1993 spending growth came via cost‐increasing advances in medical technology resulting from: (1) commercial research and development induced by coverage levels and (2) noncommercial medical research. The remaining one‐third, was due to standard factors: age–sex mix changes, income growth and coverage growth (the latter playing a small but indeterminate part).Copyright © 1998 John Wiley & Sons, Ltd.