4.4 Article

Time is money: Outpatient waiting times and health insurance choices of elderly veterans in the United States

Journal

JOURNAL OF HEALTH ECONOMICS
Volume 30, Issue 4, Pages 626-636

Publisher

ELSEVIER SCIENCE BV
DOI: 10.1016/j.jhealeco.2011.05.004

Keywords

Outpatient waiting times; Insurance choice; Medicare

Funding

  1. Health Services Research and Development Service of the U.S. Department of Veterans Affairs [IAD 06-112]
  2. Changes in Health Care Financing and Organization (HCFO) Initiative of the Robert Wood Johnson Foundation [62967]

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Growth in the number of days between an appointment request and the actual appointment reduces demand. Although such waiting times are relatively low in the US, current policy initiatives could cause them to increase. We estimate multiple-equation models of physician utilization and insurance plan choice for Medicare-eligible veterans. We find that a 10% increase in VA waiting times increases demand for Medigap insurance by 5%, implying that a representative patient would be indifferent between waiting an average of 5 more days for VA appointments and paying $300 more in annual premium. Published by Elsevier B.V.

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