US Health Care Expenditures, GDP and Health Policy Reforms: Evidence from End-of-Sample Structural Break Tests

This research investigates the over-time stability of the aggregate US healthcare expenditure (HCE)–GDP relationship, focusing on periods of healthcare reforms. The most consequential reforms—Medicaid/Medicare and the Affordable Care Act (ACA)—are challenging to study because they occur near the end...

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Detalles Bibliográficos
Autores principales: Brewer, Ben, Conway, Karen Smith, Ozabaci, Deniz, Woodward, Robert S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Palgrave Macmillan UK 2022
Materias:
Original Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9188657/
https://www.ncbi.nlm.nih.gov/pubmed/35729891
http://dx.doi.org/10.1057/s41302-022-00218-x
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author Brewer, Ben
Conway, Karen Smith
Ozabaci, Deniz
Woodward, Robert S.
author_facet Brewer, Ben
Conway, Karen Smith
Ozabaci, Deniz
Woodward, Robert S.
author_sort Brewer, Ben
collection PubMed
description This research investigates the over-time stability of the aggregate US healthcare expenditure (HCE)–GDP relationship, focusing on periods of healthcare reforms. The most consequential reforms—Medicaid/Medicare and the Affordable Care Act (ACA)—are challenging to study because they occur near the ends of the available data. Using annual national- and state-level data and a battery of structural break tests, we find the HCE–GDP relationship to be overwhelmingly stable. An ancillary analysis around the 2006 Massachusetts healthcare reform, which avoids the confounding effects of the Great Recession and the staggered rollout of the ACA, likewise finds no change.
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spelling pubmed-91886572022-06-17 US Health Care Expenditures, GDP and Health Policy Reforms: Evidence from End-of-Sample Structural Break Tests Brewer, Ben Conway, Karen Smith Ozabaci, Deniz Woodward, Robert S. East Econ J Original Article This research investigates the over-time stability of the aggregate US healthcare expenditure (HCE)–GDP relationship, focusing on periods of healthcare reforms. The most consequential reforms—Medicaid/Medicare and the Affordable Care Act (ACA)—are challenging to study because they occur near the ends of the available data. Using annual national- and state-level data and a battery of structural break tests, we find the HCE–GDP relationship to be overwhelmingly stable. An ancillary analysis around the 2006 Massachusetts healthcare reform, which avoids the confounding effects of the Great Recession and the staggered rollout of the ACA, likewise finds no change. Palgrave Macmillan UK 2022-06-12 2022 /pmc/articles/PMC9188657/ /pubmed/35729891 http://dx.doi.org/10.1057/s41302-022-00218-x Text en © EEA 2022, corrected publication 2022 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.
spellingShingle Original Article
Brewer, Ben
Conway, Karen Smith
Ozabaci, Deniz
Woodward, Robert S.
US Health Care Expenditures, GDP and Health Policy Reforms: Evidence from End-of-Sample Structural Break Tests
title US Health Care Expenditures, GDP and Health Policy Reforms: Evidence from End-of-Sample Structural Break Tests
title_full US Health Care Expenditures, GDP and Health Policy Reforms: Evidence from End-of-Sample Structural Break Tests
title_fullStr US Health Care Expenditures, GDP and Health Policy Reforms: Evidence from End-of-Sample Structural Break Tests
title_full_unstemmed US Health Care Expenditures, GDP and Health Policy Reforms: Evidence from End-of-Sample Structural Break Tests
title_short US Health Care Expenditures, GDP and Health Policy Reforms: Evidence from End-of-Sample Structural Break Tests
title_sort us health care expenditures, gdp and health policy reforms: evidence from end-of-sample structural break tests
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9188657/
https://www.ncbi.nlm.nih.gov/pubmed/35729891
http://dx.doi.org/10.1057/s41302-022-00218-x
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