Is fragmented financing bad for your health?
- PMID: 21898983
- DOI: 10.5034/inquiryjrnl_48.02.02
Is fragmented financing bad for your health?
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.
Similar articles
-
America's neglected veterans: 1.7 million who served have no health coverage.Int J Health Serv. 2005;35(2):313-23. doi: 10.2190/UPBQ-C3RH-D367-5H9D. Int J Health Serv. 2005. PMID: 15932009
-
Access to Care Among Nonelderly Veterans.Med Care. 2016 Mar;54(3):243-52. doi: 10.1097/MLR.0000000000000508. Med Care. 2016. PMID: 26871642
-
Insurance status and quality of outpatient care for uncomplicated acute rhinosinusitis.JAMA Otolaryngol Head Neck Surg. 2015 Jun;141(6):505-11. doi: 10.1001/jamaoto.2015.0530. JAMA Otolaryngol Head Neck Surg. 2015. PMID: 25879170
-
Veterans and the Affordable Care Act.JAMA. 2012 Feb 22;307(8):789-90. doi: 10.1001/jama.2012.196. JAMA. 2012. PMID: 22357828 No abstract available.
-
VHA enrollees' health care coverage and use of care.Med Care Res Rev. 2003 Jun;60(2):253-67. doi: 10.1177/1077558703060002007. Med Care Res Rev. 2003. PMID: 12800686
Cited by
-
Assessment of Care Cascades Following Low-Value Prostate-Specific Antigen Testing Among Veterans Dually Enrolled in the US Veterans Health Administration and Medicare Systems.JAMA Netw Open. 2022 Dec 1;5(12):e2247180. doi: 10.1001/jamanetworkopen.2022.47180. JAMA Netw Open. 2022. PMID: 36520431 Free PMC article.
-
Association Between Mental Health Conditions and Outpatient Care Fragmentation: a National Study of Older High-Risk Veterans.J Gen Intern Med. 2022 Dec;37(16):4071-4079. doi: 10.1007/s11606-022-07705-z. Epub 2022 Jul 22. J Gen Intern Med. 2022. PMID: 35869316 Free PMC article.
-
Integrated Health Record Viewers and Reduction in Duplicate Medical Imaging: Retrospective Observational Analysis.JMIR Med Inform. 2022 May 20;10(5):e32168. doi: 10.2196/32168. JMIR Med Inform. 2022. PMID: 35594070 Free PMC article.
-
Do financial aspects affect care transitions in long-term care systems? A systematic review.Arch Public Health. 2022 Mar 23;80(1):90. doi: 10.1186/s13690-022-00829-y. Arch Public Health. 2022. PMID: 35321727 Free PMC article. Review.
-
Outpatient care fragmentation in Veterans Affairs patients at high-risk for hospitalization.Health Serv Res. 2022 Aug;57(4):764-774. doi: 10.1111/1475-6773.13956. Epub 2022 Mar 11. Health Serv Res. 2022. PMID: 35178702 Free PMC article.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Research Materials
