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State Payment Limitations on Medicare Cost-Sharing

Impact on Dually Eligible Beneficiaries

Bibliographic Data

ID13775868
AuthorsJanet B Mitchell (RTI International, corresponding author), Susan G Haber (0000-0002-0911-6144)
Year2004
Volume41
Issue4
Pages391-400
Publication date2004-11-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueINQUIRY The Journal of Health Care Organization Provision and Financing (JOURNAL)
Journal identifiersISSN: 0046-9580 • E-ISSN: 1945-7243
PublisherSAGE Publishing (PUBLISHER • US)
DOI10.5034/inquiryjrnl_41.4.391
PMID15835598
OpenAlexW2036537082
LanguageEN
Citations received3
References cited3

The Balanced Budget Act (BBA) of 1997 allowed states to limit how much their Medicaid programs contributed toward the Medicare cost-sharing liability of dually eligible beneficiaries. Policymakers have grown concerned that such limitations may affect access to care for these beneficiaries. We used a quasi-experimental design to analyze changes in access from 1996 to 1998, using Medicare and Medicaid data from nine states. Cost-sharing payments fell in six of the nine states following the BBA, and access to outpatient physician visits for dually eligible beneficiaries was reduced relative to non-dually eligible beneficiaries in those states

Actuarial science · Business · Cost sharing · Cost-shifting · Economic growth · Economics · Family medicine · Health care · Medicaid · Payment · Finance · Global Health Care Issues · Health Systems, Economic Evaluations, Quality of Life · Healthcare Policy and Management · Medicine · Nursing

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Unique citing works3
Citations per year0,15
Citation span2006 - 2021 (16)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 2
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