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. 2019 Aug 19;75(7):1527–1537. doi: 10.1093/geronb/gbz108

Table 2.

Two-part Model Estimates of Average Annual Medicaid Expenditures

Logistic regressionCoef.
(SE)
[95% CI]
p Generalized linear modelCoef.
(SE)
[95% CI]
p Average marginal effects$
(SE)
[95% CI]
p
Dementia 0.853 *** <.001 0.391 ** .003 6,278 *** <.001
(0.230) (0.130) (1,518)
[0.401, 1.304] [0.136, 0.646] [3,302, 9,253]
Age –0.004 .780 0.058 *** <.001 527 *** <.001
(0.014) (0.008) (112)
[–0.031, 0.023] [0.041, 0.074] [307, 747]
Female –0.208 .298 0.714 *** <.001 6,003 *** <.001
(0.200) (0.132) (1,579)
[–0.601, 0.184] [0.456, 0.973] [2,908, 9,098]
Black –0.784 *** <.001 0.052 .738 –1,943 .212
(0.217) (0.155) (1,557)
[–1.208, –0.359] [–0.252, 0.355] [–4,994, 1,109]
Hispanic 1.253 *** <.001 0.077 .805 4,590 .132
(0.333) (0.310) (3,048)
[0.600, 1.906] [–0.531, 0.684] [–1,385, 10,564]
Married 1.777 *** <.001 –0.022 .941 5,289 .075
(0.333) (0.304) (2,973)
[1.124, 2.430] [–0.618, 0.574] [–5,371, 1,116]
Years of schooling –0.075 *** .001 0.033 * .031 71 .650
(0.023) (0.015) (156)
[–0.120, –0.031] [0.003, 0.062] [–235, 377]
Below Federal Poverty Level 3.002 *** <.001 –0.774 *** .001 2,083 .254
(0.232) (0.223) (1,826)
[2.547, 3.456] [–1.211, –0.337] [–1,496, 5,661]
<1 year before death 0.569 * .042 0.448 ** .006 5,930 ** .002
(0.280) (0.164) (1,896)
[0.021, 1.117] [0.126, 0.770] [2,213, 9,646]
# Comorbidities 0.091 * .050 0.188 *** <.001 2,027 *** <.001
(0.047) (0.031) (421)
[0.001, 0.182] [0.126, 0.249] [1,202, 2,853]
# Extrapyramidal signs 0.005 .886 0.054 ** .009 517 * .027
(0.034) (0.021) (233)
[–0.062, 0.072] [0.013, 0.095] [60, 974]

In the first part of this model, a logistic regression was used to estimate the probability of Medicaid coverage using the full sample. Conditional on having Medicaid coverage, the second part of the model estimated characteristics associated with Medicaid expenditures using a generalized linear model (GLM) with gamma family and log link.

* p<.05, ** p<.01, *** p<.001.