Socio-Economic Disparities in US Healthcare Spending: The Role of Public vs Private Insurance

@article{Capatina2018SocioEconomicDI,
  title={Socio-Economic Disparities in US Healthcare Spending: The Role of Public vs Private Insurance},
  author={Elena Capatina and Michael P. Keane and Shiko Maruyama},
  journal={HEN: Equity/Inequalities (Topic)},
  year={2018}
}
In the US healthcare system, patients of different socio-economic status (SES) often receive disparate treatment for similar conditions. Prior work documents this phenomenon for particular treatments/conditions, but we take a system-wide view and examine socioeconomic disparities in spending for all medical conditions at the 3-digit ICD-9 level. We also compare SES spending gradients for those covered by private vs. public insurance (Medicare). Using data on adult respondents from the Medical… 
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References

SHOWING 1-10 OF 64 REFERENCES

Supplemental Insurance and Racial Health Disparities under Medicare Part B

A substantial portion of the difference in black-white beneficiary use of outpatient services is due to SI, and policies aimed at increasing coverage are likely to increase the probability of visits with modest increases in volume.

Influences of Socioeconomic Status on Costs of Asthma Under Universal Health Coverage

Even under universal health care, individuals in lower SES groups did not receive guideline-based asthma care, potentially explaining their higher costs.

Socioeconomic inequality of access to healthcare: Does choice explain the gradient?

Effects of race and income on mortality and use of services among Medicare beneficiaries.

Race and income have substantial effects on mortality and use of services among Medicare beneficiaries and Adjusting the mortality and utilization rates for differences in income generally reduced the racial differences, but the effect was relatively small.

Inequalities in access to medical care by income in developed countries

Equity in physician utilization favouring patients who are better off in about half of the OECD countries studied is found, and pro-rich inequity in doctor use is highest in the United States and Mexico, followed by Finland, Portugal and Sweden.

Effects of Patient and Physician Practice Socioeconomic Status on the Health Care of Privately Insured Managed Care Patients

Lower SES patients had lower compliance with Pap smears, mammograms, and diabetic eye exams, and were less likely to have a referral or make any office visit, but were more likely to be hospitalized, and generated higher testing standardized expenditures.

Socioeconomic Status and Medical Care Expenditures in Medicare Managed Care

It was found that education, income, and wealth all affected medical care expenditures, although the effects of these variables differed across expenditure categories, and the effects were much smaller than the effects found in earlier studies of fee-for-service Medicare.

Effects of socioeconomic status on access to invasive cardiac procedures and on mortality after acute myocardial infarction.

In the province of Ontario, despite Canada's universal health care system, socioeconomic status had pronounced effects on access to specialized cardiac services as well as on mortality one year after acute myocardial infarction.

Horizontal inequities in Australia's mixed public/private health care system.

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