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Income Shocks and Out-of-Pocket Health Care Spending: Implications for Single-Mother Families
Journal of Family and Economic Issues ( IF 2.163 ) Pub Date : 2021-07-06 , DOI: 10.1007/s10834-021-09780-6
Irina B Grafova 1 , Alan C Monheit 1 , Rizie Kumar 2
Affiliation  

We examine how out-of-pocket health care spending by single-mother families responds to income losses. We use eleven two-year panels of the Medical Expenditure Panel Survey for the period 2004–2015 and apply the correlated random effects estimation approach. We categorize income in relation to the federal poverty line (FPL): poor or near-poor (less than 125% of the FPL); low income (125 to 199% of the FPL); middle income (200 to 399% of the FPL); and high income (400% of the FPL or more). Income losses among high-income single-mother families lead a decline in out-of-pocket spending toward office-based care and emergency room care of $119–$138 and $30–$60, respectively. Among middle-income single-mother families, income losses lead to a $30 decline in out-of-pocket spending toward family emergency room care and a $45–$91 decline in mother’s out-of-pocket spending toward prescription medications. Further research should examine whether these declines compromise health status of single-mother family members.



中文翻译:

收入冲击和自付费用医疗保健支出:对单亲家庭的影响

我们研究了单亲家庭的自付费用医疗保健支出如何应对收入损失。我们使用 2004-2015 年期间的 11 个为期两年的医疗支出小组调查小组,并应用相关随机效应估计方法。我们根据联邦贫困线 (FPL) 对收入进行分类:贫困或接近贫困(低于 FPL 的 125%);低收入(FPL 的 125% 到 199%);中等收入(FPL 的 200% 到 399%);和高收入(FPL 的 400% 或更多)。高收入单亲家庭的收入损失导致办公室护理和急诊室护理的自付费用分别下降 119 至 138 美元和 30 至 60 美元。在中等收入的单亲家庭中,收入损失导致家庭急诊室护理的自付费用减少 30 美元,母亲用于处方药的自付费用减少 45-91 美元。进一步的研究应该检查这些下降是否会影响单亲家庭成员的健康状况。

更新日期:2021-07-07
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