NATIONAL BUREAU OF ECONOMIC RESEARCH
NATIONAL BUREAU OF ECONOMIC RESEARCH

NBER Publications by Elliott S. Fisher

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August 2005The Efficiency of Medicare
with Jonathan S. Skinner, John Wennberg
in Analyses in the Economics of Aging, David A. Wise, editor
July 2001The Efficiency of Medicare
with Jonathan Skinner, John E. Wennberg: w8395
Technological advances in health care have been shown to yield large average health benefits for the U.S. elderly population. However, less is known about the marginal or incremental benefits of health care spending. We use geographical variations in health care spending to measure the marginal value of greater health care intensity among the elderly Medicare population. To correct for the reverse causation problem -- that sicker areas tend to require more health care -- we use regional averages of physician visits in the last six months of life as a natural randomization for health care intensity. Using linear and semiparametric instrumental variables, we find that a large component of Medicare expenditures -- $26 billion in 1996 dollars, or nearly 20 percent of total Medicare expendit...

Published: The Efficiency of Medicare, Jonathan S. Skinner, Elliott S. Fisher, John Wennberg. in Analyses in the Economics of Aging, Wise. 2005

Contact and additional information for this authorAll NBER papers and publicationsNBER Working Papers only

 
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