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Bayesian analysis of the two‐part model with endogeneity: application to health care expenditure

含内生性的两部模型贝叶斯分析:医疗支出应用

Abstract This paper studies the effect of managed care on medical expenditure using a model in which the insurance status is assumed to be endogenous. Insurance plan choice is modeled through the multinomial probit model. The medical expenditure variable, the outcome of interest, has a significant proportion of zeros that are handled using the two‐part model, extended to handle endogenous insurance. The estimation approach is Bayesian, based on the Gibbs Sampler. The model…

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Private Insurance, Selection, and Health Care Use

私人保险、自选择与医疗服务使用

Observed differences in medical utilization between the privately insured and uninsured reflect the combined effects of self-selection and insurance incentives (moral hazard). This article provides a Bayesian framework for decomposing the disparity into incentive and selection components. The effect of self-selection in private insurance on the number of doctor visits is estimated using a multiyear sample of the U.S. adult non-Medicare population obtained from the Medical…

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Specification and simulated likelihood estimation of a non‐normal treatment‐outcome model with selection: Application to health care utilization

存在选择的非正态处理—结果模型:设定、模拟似然估计与医疗利用应用

We develop a specification and estimation framework for a class of nonlinear, non-normal microeconometric models of treatment and outcome with selection. A latent factor structure is used to accommodate selection into treatment and a simulated likelihood method is used for estimation. The methodology is applied to examine the causal effect of managed care, a multinomial discrete choice process, on the utilization of health care services, measured as binary indicators and…

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