Socioeconomic status and medical care expenditures in medicare managed care

Kanika Kapur, Jeannette A. Rogowski, Vicki A. Freedman, Steven L. Wickstrom, John L. Adams, José J. Escarce

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

This study examined the effects of education, income, and wealth on medical care expenditures in two Medicare managed care plans. The study also sought to elucidate the pathways through which socioeconomic status (SES) affects expenditures, including preferences for health and medical care and ability to navigate the managed care system. We found that education, income, and wealth all affected medical care expenditures, although the effects of these variables differed across expenditure categories. Moreover, the effects of these SES variables were much smaller than the effects found in earlier studies of fee-for-service Medicare. The pathway variables also were associated with expenditures. Accounting for the pathways through which SES affects expenditures narrowed the effect of SES on expenditures; however, the change in the estimates was very small.

Original languageEnglish (US)
Pages (from-to)876-898
Number of pages23
JournalJournal of Health Care for the Poor and Underserved
Volume17
Issue number4
DOIs
StatePublished - Nov 1 2006

All Science Journal Classification (ASJC) codes

  • Public Health, Environmental and Occupational Health

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