 The impact of the State Innovation Models Initiative on population healthPartha Deb, Anjelica Gangaram and Hoda Nouri Khajavi Economics & Human Biology, 2021, vol. 42, issue C Abstract: In this paper, we examine the effects of the State Innovation Models Initiative (SIM) on population-level health status. SIM provided $250 million to six states in 2013 for broad delivery system reforms. We use data from the Behavioral Risk Factor Surveillance System for the years 2010–2016. Our sample is restricted to individuals ages 45 and older residing in 6 SIM and 15 control states. Treatment effects in a difference-in-difference design are estimated using a latent factor model for multiple indicators of health status. In addition to estimates for the primary sample, we obtain estimates for six subsamples based on strata of age, education, income, race and urban/rural status. We find that individuals in states that implemented SIM show significant improvements in health status. The effects of SIM are greater among older, Medicare eligible individuals, including those living in rural areas. The State Innovation Models Initiative, which provided financial incentives for states to implement health care delivery system reforms, led to population-level improvements in health status. Keywords: Health care delivery; Health care financing; Medicare; Latent factor models (search for similar items in EconPapers) Downloads: (external link) Related works: Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text Persistent link: https://EconPapers.repec.org/RePEc:eee:ehbiol:v:42:y:2021:i:c:s1570677x2100037x DOI: 10.1016/j.ehb.2021.101013 Access Statistics for this article Economics & Human Biology is currently edited by J. Komlos, Inas R Kelly and Joerg Baten More articles in Economics & Human Biology from Elsevier |
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