Is Fragmented Financing Bad for Your Health?

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 Me...

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Bibliographic Details
Main Authors: Steven D. Pizer (Author), John A. Gardner (Author)
Format: Book
Published: SAGE Publishing, 2011-05-01T00:00:00Z.
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Summary: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.
Item Description:0046-9580
10.5034/inquiryjrnl_48.02.02