In the News

Health Insurance and Out-of-Pocket Costs in the Last Year of Life among Decedents Utilizing the ICU

Author: Khandelwal, N, L White, J Curtis, NB Coe
This article estimates out-of-pocket costs in the last year of life for individuals who required intensive care in the months prior to death and examine how these costs vary by insurance coverage.
Type: Aging, End of Life Care

The Price of Dementia – Presentation at the Milken Institute Global Conference

Author: Moderator: Nora Super, Milken Institute. Speakers: Norma Coe, University of Pennsylvania; Linda Elam, Amerigroup District of Columbia, Inc.; Howard Fillit, Alzheimer’s Drug Discovery Foundation; George Vradenburg, UsAgainstAlzheimer’s
Dr. Coe spoke at the 2019 Milken Institute Global Conference on the price of dementia. Dr. Coe’s comments focused on the effect that Alzheimer’s disease and related dementias have on individuals and their families and how this then affects our economy.
Type: ADRD, Long-term care, Caregiving, Informal Care

Association Between High Discharge Rates of Vulnerable Patients and Skilled Nursing Facility Copayments

Author: P Chatterjee, M Qi, NB Coe, RT Konetzka, RM Werner
Medicare pays for 100% of postacute care provided by skilled nursing facilities (SNFs) during the first 20 days within a benefit period. However, on the 21st day, most patients become responsible for a daily copayment of more than $150. This copayment may present a significant financial burden for some patients—particularly those with limited economic means—and motivate them to discharge from SNFs on the 20th day of care based on their financial resources rather than their recovery status. In this article, the researchers examine whether patterns of SNF discharge are associated with this
Type: Aging, Post-Acute Care
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Coverage Gaps and Cost-Shifting for Work-Related Injury and Illness: Who Bears the Financial Burden?

Author: Sears, JM, AT Edmonds, NB Coe
This article details the ways in which financial burden imposed by work-related injury/illness, and points out areas which are under-researched to focus policy efforts where improvement is most needed.
Type: Disability, Disability Insurance

What is the marginal benefit of payment‐induced family care? Impact on Medicaid spending and health of care recipients

Author: Coe, NB, J Guo, RT Konetzka, CH Van Houtven
Research on home‐based long‐term care has centered almost solely on the costs; there has been very little, if any, attention paid to the relative benefits. This study exploits the randomization built into the Cash and Counseling Demonstration and Evaluation program that directly impacted the likelihood of having family involved in home care delivery. They find that some family involvement in home‐based care significantly decreases health‐care utilization: lower likelihood of emergency room use, Medicaid‐financed inpatient days, any Medicaid hospital expenditures, and fewer months with
Type: Long-term care, Informal Care