Inpatient hospital utilization among the uninsured near elderly: Data and policy implications for West Virginia

Health Services Research

Volumn 42, Issue 6 P2, 2007, Pages 2442-2457

  Spencer, Donna L ^a   Richardson, Sally K ^b   McCormick, Melissa Kolb ^b  

^a UNIVERSITY OF MINNESOTA   (United States)

^b WEST VIRGINIA UNIVERSITY   (United States)

Author keywords

Hospital costs; Insurance coverage; Near elderly; State health policy; Uncompensated care

Indexed keywords

ADULT; AGED; ARTICLE; COMORBIDITY; ELDERLY CARE; HEALTH CARE POLICY; HEALTH INSURANCE; HEALTH SERVICE; HEALTH STATUS; HOSPITAL COST; HOSPITAL DISCHARGE; HOSPITAL PATIENT; HOSPITAL UTILIZATION; HOSPITALIZATION; HUMAN; MEDICAID; MEDICARE; MENTAL HEALTH CARE; UNITED STATES;

ADOLESCENT; ADULT; AGE FACTORS; AGED; FINANCING, PERSONAL; HEALTH EXPENDITURES; HEALTH SERVICES ACCESSIBILITY; HOSPITAL COSTS; HOSPITALS; HUMANS; INSURANCE COVERAGE; INSURANCE, HEALTH; MEDICAL ASSISTANCE; MEDICALLY UNINSURED; MIDDLE AGED; PATIENT DISCHARGE; SOCIOECONOMIC FACTORS; WEST VIRGINIA;

EID: 35948993344     PISSN: 00179124     EISSN: 14756773     Source Type: Journal    
DOI: 10.1111/j.1475-6773.2007.00765.x     Document Type: Article

References (26)

1. Blewett, L. A., G. Davidson, M. E. Brown R. Maude-Griffin. 2003 Hospital Provision of Uncompensated Care and Public Program Enrollment Medical Care Research and Review 60 (4): 509 27.
2. Brennan, N. 2000. Health Insurance Coverage of the Near Elderly. Series B, No. B-21. Washington, DC: The Urban Institute.
3. Budetti, J., C. Schoen, E. Simantov J. Shikles. 2000. Risks for Midlife Americans: Getting Sick, Becoming Disabled, or Losing a Job and Health Coverage. New York: Commonwealth Fund Task Force on Future of Health Insurance for Working Americans.
4. Coughlin, T., B. Bruen J. King. 2003 States' Use of Medicaid UPL and DSH Financing Mechanisms Health Affairs 23 (2): 245 57.
5. Cunningham, P. J. 1998. Next Steps in Incremental Health Insurance Expansions: Who Is Most Deserving? Washington, DC: Center for Studying Health System Change.
6. Finkler, S. 1982 The Distinction between Cost and Charges Annals of Internal Medicine 96: 102 9.
7. Government Accounting Office (GAO). 1998. "Private Health Insurance: Declining Employer Coverage May Affect Access for 55- to 64-Year Olds." Report to the Chairman, Committee on Labor and Human Resources, U.S. Senate. Washington, DC: GAO.
8. Hadley, J. J. Holahan. 2003 How Much Medical Care Do the Uninsured Use, and Who Pays for It? Health Affairs-Web Exclusive (February): 66 81.
9. Hadley, J. T. Waidmann. 2006 Health Insurance and Health at Age 65: Implications for Medical Care Spending on New Medicare Beneficiaries Health Services Research 41: 429 51.
10. Holahan, J. 2004. Health Insurance Coverage of the Near Elderly. Washington, DC: The Kaiser Commission on Medicaid and the Uninsured.
11. Kaiser Commission on Medicaid and the Uninsured. 2006. "West Virginia and United States: State Medicaid Fact Sheet" [accessed on November 9, 2006]. Available at
12. Kaiser Family Foundation. 2005. "Health Insurance Coverage of Nonelderly 0-64, U.S. (2004)" [accessed on August 2, 2006]. Available at
13. McWilliams, J. M., A. M. Zaslavsky, E. Meara J. Z. Ayanian. 2004 Health Insurance Coverage and Mortality among the Near Elderly Health Affairs 23 (4): 223 33.
14. Monheit, A. C., J. P. Vistnes J. M. Eisenberg. 2001 Moving to Medicare: Trends in the Health Insurance Status of Near-Elderly Workers, 1987-1996 Health Affairs 20: 204 13.
15. Powell-Griner, E., J. Bolen S. Bland. 1999 Health Care Coverage and Use of Preventive Services among the Near Elderly in the United States American Journal of Public Health 89 (6): 882 6.
16. Silow-Carroll, S. T. Alteras. 2004. "Stretching State Health Care Dollars: Innovative Use of Uncompensated Care Funds: One of a Series of Reports Identifying Innovative State Efforts to Enhance Access, Coverage, and Efficiency in Health Care Spending." Report prepared for The Commonwealth Fund. Washington, DC: Economic and Social Research Institute.
17. Shi, L. D. A. Singh. 2004. Delivering Health Care in America: A Systems Approach. Sudbury, MA: Jones and Bartlett Publishers.
18. Sloan, F. A. C. J. Conover. 1998 Life Transitions and Health Insurance Coverage of the Near Elderly Medical Care 36 (2): 110 25.
19. Spencer, D. L. L. A. Blewett. 2005. "Access to Health Insurance and Health Care in West Virginia: A Report on the Near Elderly." Report prepared for the West Virginia University Institute for Health Policy Research and West Virginia Health Care Authority. Minneapolis, MN: State Health Access Data Assistance Center.
20. Weller, C., J. Wenger E. Gould. 2004. Health Insurance Coverage in Retirement: The Erosion of Retiree Income Security. Washington, DC: Economic Policy Institute.
21. West Virginia Bureau for Behavioral Health and Health Facilities, Office of Behavioral Health Services. 2007. Telephone conversation with Assistant Commissioner and staff. February 9, 2007.
22. West Virginia Department of Health and Human Resources. 2005. "Achieving the Promise: Transforming Mental Health Care in West Virginia. West Virginia Community Mental Health Services Block Grant Application for Fiscal Year 2006" [accessed on February 9, 2007]. Available at
23. West Virginia Health Care Authority. 2001. Policy Statement on the UB Discharge Data. Charleston, WV: West Virginia Health Care Authority.
24. West Virginia Hospital Association. 2004. 2004 Legislative Advocacy Agenda: Assuring Access to Care. Charleston, WV: West Virginia Hospital Association.
25. West Virginia University Institute for Health Policy Research. 2005. Industry Closings in West Virginia: 2001-2005. Charleston, WV: West Virginia University Institute for Health Policy Research.
26. Ziller, E. C. A. F. Coburn. 2003. "Health Insurance Coverage of the Rural and Urban Near Elderly." Working Paper #27. Portland, ME: Maine Rural Health Research Center.