Time to death and the forecasting of macro-level health care expenditures: some further considerations.

Abstract:

:Although the effect of time to death (TTD) on health care expenditures (HCE) has been investigated using individual level data, the most profound implications of TTD have been for the forecasting of macro-level HCE. Here we estimate the TTD model using macro-level data from the Netherlands consisting of mortality rates and age- and gender-specific per capita health expenditures for the years 1981-2007. Forecasts for the years 2008-2020 of this macro-level TTD model were compared to forecasts that excluded TTD. Results revealed that the effect of TTD on HCE in our macro model was similar to those found in micro-econometric studies. As the inclusion of TTD pushed growth rate estimates from unidentified causes upwards, however, the two models' forecasts of HCE for the 2008-2020 were similar. We argue that including TTD, if modeled correctly, does not lower forecasts of HCE.

journal_name

J Health Econ

authors

van Baal PH,Wong A

doi

10.1016/j.jhealeco.2012.08.003

subject

Has Abstract

pub_date

2012-12-01 00:00:00

pages

876-87

issue

6

eissn

0167-6296

issn

1879-1646

pii

S0167-6296(12)00112-9

journal_volume

31

pub_type

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