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来源类型Working Paper
规范类型报告
DOI10.3386/w10365
来源IDWorking Paper 10365
The Impact of Nearly Universal Insurance Coverage on Health Care Utilization and Health: Evidence from Medicare
David Card; Carlos Dobkin; Nicole Maestas
发表日期2004-03-15
出版年2004
语种英语
摘要We use the increases in health insurance coverage at age 65 generated by the rules of the Medicare program to evaluate the effects of health insurance coverage on health related behaviors and outcomes. The rise in overall coverage at age 65 is accompanied by a narrowing of disparities across race and education groups. Groups with bigger increases in coverage at 65 experience bigger reductions in the probability of delaying or not receiving medical care, and bigger increases in the probability of routine doctor visits. Hospital discharge records also show large increases in admission rates at age 65, especially for elective procedures like bypass surgery and joint replacement. The rises in hospitalization are bigger for whites than blacks, and for residents of areas with higher rates of insurance coverage prior to age 65, suggesting that the gains arise because of the relative generosity of Medicare, rather than the availability of insurance coverage. Finally, there are small impacts of reaching age 65 on self-reported health, with the largest gains among the groups that experience the largest gains in insurance coverage. In contrast we find no evidence of a shift in the rate of growth of mortality rates at age 65.
主题Health, Education, and Welfare ; Health
URLhttps://www.nber.org/papers/w10365
来源智库National Bureau of Economic Research (United States)
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条目标识符http://119.78.100.153/handle/2XGU8XDN/567994
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David Card,Carlos Dobkin,Nicole Maestas. The Impact of Nearly Universal Insurance Coverage on Health Care Utilization and Health: Evidence from Medicare. 2004.
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