全球智库信息集成服务系统(G2TT): How Does Supplemental Medicare Coverage Affect the Disabled Under-65 Population?: An Exploratory Analysis of the Health Effects of States\u2019 Medigap Policies for SSDI Beneficiaries

G2TT

来源类型	Working Paper
规范类型	报告
DOI	10.3386/w25564
来源ID	Working Paper 25564
	How Does Supplemental Medicare Coverage Affect the Disabled Under-65 Population?: An Exploratory Analysis of the Health Effects of States\u2019 Medigap Policies for SSDI Beneficiaries
	Philip Armour; Claire O’Hanlon
发表日期	2019-02-18
出版年	2019
语种	英语
摘要	A substantial portion of the costs associated with, and the value to beneficiaries of, Social Security Disability Insurance is Medicare eligibility. However, the benefits of this eligibility can vary due to differences in state policies on supplemental Medicare coverage, also known as Medigap. Although Medigap policies are federally regulated to be issued to 65-and-over Medicare beneficiaries with specific restrictions over underwriting, these policies are left to states to regulate with regard to the under-65 SSDI population, generating substantial cross-state and temporal variation. This paper documents the variation in availability and generosity of under-65 Medigap eligibility for the SSDI population. Furthermore, it exploits this variation to provide initial estimates of how this eligibility affects the health status of non-Medicaid-eligible SSDI recipients. Our main finding is that requiring Medigap plans be offered for under-65 SSDI recipients substantially improves self-reported health of this population, with suggestive evidence that this improvement is stronger as underwriting restrictions increase and among SSDI beneficiaries with mental health conditions. The estimated effect is highly robust to alternative scaling or categorizations of self-reported health, choice of data set, inclusion of fixed effects, controls for local Medicare Advantage penetration, and falsification tests. This effect is nearly three times the size of the estimated increase in self-reported health in the Oregon Medicaid expansion.
主题	Health, Education, and Welfare ; Health ; Public Economics ; National Fiscal Issues ; Labor Economics ; Demography and Aging
URL	https://www.nber.org/papers/w25564
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/583238
推荐引用方式 GB/T 7714	Philip Armour,Claire O’Hanlon. How Does Supplemental Medicare Coverage Affect the Disabled Under-65 Population?: An Exploratory Analysis of the Health Effects of States\u2019 Medigap Policies for SSDI Beneficiaries. 2019.

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w25564.pdf（326KB）	智库出版物		限制开放	CC BY-NC-SA	浏览