Department of Economics, Drayton House, University College London, London, UK.
Department of Economics, University at Albany, SUNY, Albany, NY.
Am Econ Rev. 2016 Nov;106(11):3480-3520. doi: 10.1257/aer.20140015.
The old age provisions of the Medicaid program were designed to insure retirees against medical expenses. We estimate a structural model of savings and medical spending and use it to compute the distribution of lifetime Medicaid transfers and Medicaid valuations across currently single retirees. Compensating variation calculations indicate that current retirees value Medicaid insurance at more than its actuarial cost, but that most would value an expansion of the current Medicaid program at less than its cost. These findings suggest that for current single retirees, the Medicaid program may be of the approximately right size.
医疗补助计划的老年条款旨在为退休人员提供医疗费用保险。我们估计了一个储蓄和医疗支出的结构模型，并利用该模型计算了目前单身退休人员的终身医疗补助转移和医疗补助评估的分布。补偿性变化计算表明，目前的退休人员对医疗补助保险的价值超过了其精算成本，但大多数人对扩大当前医疗补助计划的价值评估低于其成本。这些发现表明，对于目前的单身退休人员来说，医疗补助计划的规模可能大致合适。
