88164 20211216131132.0 doi 10.1016/j.econmod.2019.02.011 sideral 111271 ART-2019-111271 eng Clemente, J. Universidad de Zaragoza (orcid)0000-0001-6907-8090 US state health expenditure convergence: A revisited analysis 2019 Access copy available to the general public Unrestricted This paper studies the evolution of US state health expenditure for a sample that covers 1966–2014. Our results provide evidence against the existence of a single pattern of behavior of personal health care expenditure across the US states. Rather, we can observe the existence of two statistically different convergence clubs. We cannot find evidence of convergence when we disaggregate health expenditure into its three main payers: Medicare, Medicaid and private health insurance expenditure, whilst we again find evidence of convergence clubs. However, the estimated clubs for Medicaid and private health insurance expenditure are statistically different that estimated for total health expenditure. Consequently, our results offer strong evidence of heterogeneity in the evolution of US health expenditure. The analysis of the forces that drive club creation shows that economic situation and some supply-side factors are important. We can also appreciate that some healthcare outcome variables are only related to private insurance health expenditure. The other health expenditures, thus, show a certain lack of efficiency which may be due to practices that have little benefit for patient health. info:eu-repo/grantAgreement/ES/DGA/S124-CASSETEM group info:eu-repo/grantAgreement/ES/MEC/ECO2015-65967-R info:eu-repo/semantics/openAccess by-nc-nd http://creativecommons.org/licenses/by-nc-nd/3.0/es/ 1.93 2019 ECONOMICS 113 / 371 = 0.305 2019 Q2 T1 0.972 2019 Economics and Econometrics 2019 Q2 info:eu-repo/semantics/article info:eu-repo/semantics/acceptedVersion Lázaro-Alquézar, A. Universidad de Zaragoza (orcid)0000-0001-5513-1567 Montañés, A. Universidad de Zaragoza (orcid)0000-0002-5872-631X 4008 225 Universidad de Zaragoza Dpto. Estruc.Hª Econ.y Eco.Pb. Área Economía Aplicada 4000 415 Universidad de Zaragoza Dpto. Análisis Económico Área Fund. Análisis Económico 83 (2019), 210-220 Econ. model. Economic Modelling 0264-9993 498876 http://zaguan.unizar.es/record/88164/files/texto_completo.pdf Postprint 43276 http://zaguan.unizar.es/record/88164/files/texto_completo.jpg?subformat=icon icon Postprint oai:zaguan.unizar.es:88164 articulos driver 2021-12-16-13:02:04 ARTICLE