If you need an accessible version of this item please contact JSTOR User Support

Copayments and Demand for Medical Care: The California Medicaid Experience

Jay Helms, Joseph P. Newhouse and Charles E. Phelps
The Bell Journal of Economics
Vol. 9, No. 1 (Spring, 1978), pp. 192-208
Published by: RAND Corporation
DOI: 10.2307/3003620
Stable URL: http://www.jstor.org/stable/3003620
Page Count: 17
  • Download PDF
  • Cite this Item

You are not currently logged in.

Access your personal account or get JSTOR access through your library or other institution:

login

Log in to your personal account or through your institution.

If you need an accessible version of this item please contact JSTOR User Support
Copayments and Demand for Medical Care: The California Medicaid Experience
Preview not available

Abstract

This study assesses impacts of a California program in which certain Medicaid beneficiaries were required to make small payments for (previously free) out-of-hospital services. This "copayment" requirement decreased physician visit demand by 8 percent, increased hospital service demand by 17 percent, and increased overall program cost by a (statistically insignificant) 3-8 percent. The estimates derive from behavior comparisons of two groups known to differ, so the results may contain statistical artifacts. If the estimates are correct, however, copayments for ambulatory services in a welfare population may be self-defeating as a method of controlling costs.

Page Thumbnails

  • Thumbnail: Page 
192
    192
  • Thumbnail: Page 
193
    193
  • Thumbnail: Page 
194
    194
  • Thumbnail: Page 
195
    195
  • Thumbnail: Page 
196
    196
  • Thumbnail: Page 
197
    197
  • Thumbnail: Page 
198
    198
  • Thumbnail: Page 
199
    199
  • Thumbnail: Page 
200
    200
  • Thumbnail: Page 
201
    201
  • Thumbnail: Page 
202
    202
  • Thumbnail: Page 
203
    203
  • Thumbnail: Page 
204
    204
  • Thumbnail: Page 
205
    205
  • Thumbnail: Page 
206
    206
  • Thumbnail: Page 
207
    207
  • Thumbnail: Page 
208
    208