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来源类型Working Paper
规范类型报告
DOI10.3386/w26292
来源IDWorking Paper 26292
Does Medicare Coverage Improve Cancer Detection and Mortality Outcomes?
Rebecca Mary Myerson; Reginald Tucker-Seeley; Dana Goldman; Darius N. Lakdawalla
发表日期2019-09-30
出版年2019
语种英语
摘要Medicare is a large government health insurance program in the United States which covers about 60 million people. This paper analyzes the effects of Medicare insurance on health for a group of people in urgent need of medical care: people with cancer. We used a regression discontinuity design to assess impacts of near-universal Medicare insurance at age 65 on cancer detection and outcomes, using population-based cancer registries and vital statistics data. Our analysis focused on the three tumor sites for which screening is recommended both before and after age 65: breast, colorectal, and lung cancer. At age 65, cancer detection increased by 72 per 100,000 population among women and 33 per 100,000 population among men; cancer mortality also decreased by 9 per 100,000 population for women but did not significantly change for men. In a placebo check, we found no comparable changes at age 65 in Canada. This study provides the first evidence to our knowledge that near-universal access to Medicare at age 65 is associated with improvements in population-level cancer mortality and provides new evidence on the differences in the impact of health insurance by gender.
主题Health, Education, and Welfare ; Health ; Education
URLhttps://www.nber.org/papers/w26292
来源智库National Bureau of Economic Research (United States)
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资源类型智库出版物
条目标识符http://119.78.100.153/handle/2XGU8XDN/583981
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Rebecca Mary Myerson,Reginald Tucker-Seeley,Dana Goldman,et al. Does Medicare Coverage Improve Cancer Detection and Mortality Outcomes?. 2019.
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