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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
Published in:Inquiry (Chicago) 2011-06, Vol.48 (2), p.109-122
Main Authors: Pizer, Steven D., Gardner, John A.
Format: Article
Language:English
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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.
ISSN:0046-9580
1945-7243
DOI:10.5034/inquiryjrnl_48.02.02