The impact of health insurance expansion on physician treatment choice: Medicare Part D and physician prescribing

被引：11

作者：

Hu, Tianyan ^{[1
]}

Decker, Sandra L. ^{[2
]}

Chou, Shin-Yi ^{[3
]}

机构：

[1] Florida Int Univ, Dept Hlth Policy & Management, AHC5-452,11200 SW 8th St, Miami, FL 33199 USA

[2] AHRQ, 540 Gaither Rd, Rockville, MD 20850 USA

[3] Lehigh Univ, Dept Econ, 621 Taylor St, Bethlehem, PA 18015 USA

来源：

INTERNATIONAL JOURNAL OF HEALTH ECONOMICS AND MANAGEMENT | 2017年 / 17卷 / 03期

关键词：

Medicare; Part D; Prescription drug; Expenditure of health care; Prescribing pattern; REGRESSION DISCONTINUITY DESIGNS; PRESCRIPTION DRUG-USE; PHARMACEUTICAL PRICES; CARE; SERVICES; COSTS; ECONOMICS; QUALITY;

D O I：

10.1007/s10754-017-9211-2

中图分类号：

F8 [财政、金融];

学科分类号：

0202 ;

摘要：

We test the effect of the introduction of Medicare Part D on physician prescribing behavior by using data on physician visits from the National Ambulatory Medical Care Survey (NAMCS) 2002-2004 and 2006-2009 for patients aged 60-69. We use regression discontinuity designs to estimate the effect of part D around the age of 65 before and after 2006 and then compare the discrete jump in outcomes at age 65 before and after Part D. We find a 32% increase in the number of prescription drugs prescribed or continued per visit and a 46% increase in the number of generic drugs prescribed or continued for the elderly after the introduction of Medicare Part D.

引用

页码：333 / 358

页数：26

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