Does Medicare Part D Save Lives?

被引:15
作者
Dunn, Abe [1 ]
Shapiro, Adam Hale [2 ]
机构
[1] US Bur Econ Anal, Suitland Silver Hill, MD 20746 USA
[2] Fed Reserve Bank San Francisco, San Francisco, CA USA
关键词
prescription drug insurance; Medicare Part D; mortality; 14; RANDOMIZED-TRIALS; DID MEDICARE; CHOLESTEROL; METAANALYSIS; MORTALITY; EFFICACY; IMPACT; PARTICIPANTS; ADHERENCE; THERAPY;
D O I
10.1162/ajhe_a_00107
中图分类号
F [经济];
学科分类号
02 ;
摘要
We examine the impact of Medicare Part D on mortality for the population over the age of 65. We identify the effects of the reform using variation in drug coverage across counties before the reform was implemented. Studying mortality rates immediately before and after the reform, we find that cardiovascular-related mortality drops significantly in those counties most affected by Part D. Estimates suggest that up to 26,000 more individuals were alive in mid-2007 because of the Part D implementation in 2006. We estimate the welfare benefit from lives saved to range from $1.5 to $4.8 billion.
引用
收藏
页码:126 / 164
页数:39
相关论文
共 49 条
[1]   EFFECTS OF TREATMENT ON MORBIDITY IN HYPERTENSION - RESULTS IN PATIENTS WITH DIASTOLIC BLOOD PRESSURES AVERAGING 115 THROUGH 129 MM HG [J].
不详 .
JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1967, 202 (11) :1028-&
[2]  
[Anonymous], 1970, JAMA-J AM MED ASSOC, V213, P1143
[3]   The Oregon Experiment - Effects of Medicaid on Clinical Outcomes [J].
Baicker, Katherine ;
Taubman, Sarah L. ;
Allen, Heidi L. ;
Bernstein, Mira ;
Gruber, Jonathan H. ;
Newhouse, Joseph P. ;
Schneider, Eric C. ;
Wright, Bill J. ;
Zaslavsky, Alan M. ;
Finkelstein, Amy N. .
NEW ENGLAND JOURNAL OF MEDICINE, 2013, 368 (18) :1713-1722
[4]  
Baigent C, 2002, BMJ-BRIT MED J, V324, P71, DOI 10.1136/bmj.324.7329.71
[5]   Efficacy and safety of more intensive lowering of LDL cholesterol: a meta-analysis of data from 170 000 participants in 26 randomised trials [J].
Baigent, C. ;
Blackwell, L. ;
Emberson, J. ;
Holland, L. E. ;
Reith, C. ;
Bhala, N. ;
Peto, R. ;
Barnes, E. H. ;
Keech, A. ;
Simes, J. ;
Collins, R. .
LANCET, 2010, 376 (9753) :1670-1681
[6]   Efficacy and safety of cholesterol-lowering treatment: prospective meta-analysis of data from 90,056 participants in 14 randomised trials of statins [J].
Baigent, C ;
Keech, A ;
Kearney, PM ;
Blackwell, L ;
Buck, G ;
Pollicino, C ;
Kirby, A ;
Sourjina, T ;
Peto, R ;
Collins, R ;
Simes, J .
LANCET, 2005, 366 (9493) :1267-1278
[7]   ESTIMATING DISCRETE-CHOICE MODELS OF PRODUCT DIFFERENTIATION [J].
BERRY, ST .
RAND JOURNAL OF ECONOMICS, 1994, 25 (02) :242-262
[8]   DOES MEDICARE SAVE LIVES? [J].
Card, David ;
Dobkin, Carlos ;
Maestas, Nicole .
QUARTERLY JOURNAL OF ECONOMICS, 2009, 124 (02) :597-636
[9]   Patient Cost-Sharing and Hospitalization Offsets in the Elderly [J].
Chandra, Amitabh ;
Gruber, Jonathan ;
McKnight, Robin .
AMERICAN ECONOMIC REVIEW, 2010, 100 (01) :193-213
[10]  
Congressional Budget Office, 2014, C BUDG OFF PUBL