| 来源类型 | Working Paper |
| 规范类型 | 报告 |
| DOI | 10.3386/w10204 |
| 来源ID | Working Paper 10204 |
| Managed Care, Drug Benefits and Mortality: An Analysis of the Elderly | |
| Gautam Gowrisankaran; Robert J. Town | |
| 发表日期 | 2004-01-12 |
| 出版年 | 2004 |
| 语种 | 英语 |
| 摘要 | We seek to investigate whether managed health care can affect mortality, and if so, through which mechanisms. We estimate the impact of Medicare+Choice (M+C), Medicare's managed care program, on elderly mortality, using a county-level panel from 1993 to 2000. We control for endogenous M+C penetration rates with county fixed effects and instrumental variables. We construct instruments using the identification created by the fact that M+C payment rates are based on 3 to 8 year lagged fee-for-service (FFS) costs in the county. We find that enrollment in managed care without prescription drug coverage significantly increases mortality while enrollment in managed care with drug coverage has no significant impact, both relative to FFS. The impact of managed care penetration on mortality from heart disease appears to follow a similar pattern. The estimates suggest that a 10-percentage point increase in M+C non-drug coverage would cause 51,000 additional deaths among the aged population in 2000. |
| 主题 | Health, Education, and Welfare ; Health |
| URL | https://www.nber.org/papers/w10204 |
| 来源智库 | National Bureau of Economic Research (United States) |
| 引用统计 | |
| 资源类型 | 智库出版物 |
| 条目标识符 | http://119.78.100.153/handle/2XGU8XDN/567832 |
| 推荐引用方式 GB/T 7714 | Gautam Gowrisankaran,Robert J. Town. Managed Care, Drug Benefits and Mortality: An Analysis of the Elderly. 2004. |
| 条目包含的文件 | ||||||
| 文件名称/大小 | 资源类型 | 版本类型 | 开放类型 | 使用许可 | ||
| w10204.pdf（2308KB） | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 | ||
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