Did Medicare Part D Reduce Mortality?

Huh, Jason; Reif, Julian

doi:10.2139/ssrn.2637397

Cited by 4 publications

(9 citation statements)

References 36 publications

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“…The magnitude of the estimate on cardiovascular drugs is less than similar estimates in Huh and Reif (2017), which showed a 31% increase in cardiovascular drug prescriptions due to Part D. The magnitude of the effect on total prescriptions is greater than the 20% increase found in Huh and Reif (2017). The results indicate that the implementation of Medicare Part D led to a 30.6 percentage point increase in total drug use at a 1% level of statistical significance and a 23.2 percentage point increase in cardiovascular and metabolic drug use at a 5% level of statistical significance.…”

Section: Effects On Prescription Drug Insurance Out-of-pocket Spendicontrasting

confidence: 56%

“…I classified the prescription drug types into cardiovascular and metabolic drugs and all other drugs. Second, this paper contributes to the literature on Medicare Part D. Previous studies on Medicare Part D focused on its effects on prescription drug coverage (Engelhardt & Gruber, 2011;Schneeweiss et al, 2009), drug utilization (Duggan & Scott Morton, 2010), health care uses (Ayyagari, Shane, & Wehby, 2017;Kaestner et al, 2017;Khan & Kaestner, 2009), and mortality (Dunn & Shapiro, 2017;Huh & Reif, 2017), providing no evidence of its health behavior effects. Because drugs in these therapeutic classes treat chronic diseases that can be managed with behavioral changes, they can make engaging in physical activity less essential.…”

Section: Introductionmentioning

confidence: 99%

“…Huh and Reif (2017) used a difference-in-difference identification method and 3 years post-Medicare Part D period.…”

mentioning

confidence: 99%

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The effect of prescription drug insurance on health behavior: Evidence from Medicare Part D

Asfaw

2019

Health Economics

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Summary This paper provides empirical evidence on the health behavior effect of prescription drug insurance. Using the difference in the regression discontinuity research design, I compare health behavior changes at age 65 before and after the introduction of Medicare Part D. I find that the implementation of Medicare Part D increased prescription drug insurance coverage and reduced out‐of‐pocket spending per prescription and the use of cardiovascular and metabolic therapeutic class drugs. I also find that Medicare Part D led to a 6.36 percentage point decrease in the probability of engaging in moderate physical exercise and a 27.4 percentage point decrease in the amount of time spent on moderate physical activity. It also increased the probability of being overweight by 5.75 percentage points. Its effects on vigorous and muscle‐strengthening exercise both at the extensive and intensive margins, obesity, BMI, and cigarette consumption are not statistically significant.

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Section: Effects On Prescription Drug Insurance Out-of-pocket Spendicontrasting

confidence: 56%

Section: Introductionmentioning

confidence: 99%

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The effect of prescription drug insurance on health behavior: Evidence from Medicare Part D

Asfaw

2019

Health Economics

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“…Given that the mechanism behind the relationship between unemployment rates and mortality is not clear, it is also relevant to compare my estimates to the range of estimates of the effect of the elderly's health insurance on mortality. Such estimates vary: in some studies, the estimates are null or very small (Finkelstein & McKnight, ; Kaestner, Long, & Alexander, ), recent estimates of the impact of Medicare Part D on elderly mortality are around 2.2% (Huh & Reif, ), and other estimates are larger (Card, Dobkin, & Maestas, ; Sommers, Long, & Baicker, ).…”

Section: Resultsmentioning

confidence: 99%

The mortality effects of changing public funding for home health care: An empirical analysis of Medicare home health care in the United States

Orsini

2019

Health Economics

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In light of population aging, it is important to understand whether limiting public in‐kind transfers to the elderly affects elderly mortality. I focus on home health care—a popular in‐kind transfer—and I exploit variation in the Medicare home health care reimbursement that arose in 1997 in the United States to study whether cuts to government coverage of home health care affected elderly mortality. Under the identifying assumptions of the DID model, I find that the cuts affected total mortality for some men but not women, suggesting that changes in home health care can affect elderly mortality and differences in mortality between men and women. For men aged between 65 and 74, the Interim Payment System was associated with an increase in mortality equal to 0.6%, an effect in absolute value comparable to the mortality response to a one percentage point change in unemployment rates and within the range of other estimates of the impact of health insurance on elderly mortality.

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“…Huh and Reif (2017) investigate the health effects of implementing Medicare Part D by comparing changes in mortality between the young-elderly and the near-elderly. They estimate that this prescription drug benefit program reduced elderly mortality by 2.2 percent annually.…”

Section: Health Insurance and Healthmentioning

confidence: 99%

Social Insurance and Health

Ziebarth¹

2018

Health Econometrics

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Standard-Nutzungsbedingungen:Die Dokumente auf EconStor dürfen zu eigenen wissenschaftlichen Zwecken und zum Privatgebrauch gespeichert und kopiert werden.Sie dürfen die Dokumente nicht für öffentliche oder kommerzielle Zwecke vervielfältigen, öffentlich ausstellen, öffentlich zugänglich machen, vertreiben oder anderweitig nutzen.Sofern die Verfasser die Dokumente unter Open-Content-Lizenzen (insbesondere CC-Lizenzen) zur Verfügung gestellt haben sollten, gelten abweichend von diesen Nutzungsbedingungen die in der dort genannten Lizenz gewährten Nutzungsrechte. Terms of use: Documents in Social Insurance and Health july 2017Any opinions expressed in this paper are those of the author(s) and not those of IZA. Research published in this series may include views on policy, but IZA takes no institutional policy positions. The IZA research network is committed to the IZA Guiding Principles of Research Integrity. The IZA Institute of Labor Economics is an independent economic research institute that conducts research in labor economics and offers evidence-based policy advice on labor market issues. Supported by the Deutsche Post Foundation, IZA runs the world's largest network of economists, whose research aims to provide answers to the global labor market challenges of our time. Our key objective is to build bridges between academic research, policymakers and society. IZA Discussion Papers often represent preliminary work and are circulated to encourage discussion. Citation of such a paper should account for its provisional character. A revised version may be available directly from the author. Social insurance encompasses programs primarily designed to insure against health risks, such as health insurance, sick leave insurance, accident insurance, long-term care insurance and disability insurance; and programs that insure against other risks, such as unemployment insurance, pension insurance and country-specific social insurance. These insurance systems exist in almost all developed countries around the world. This chapter discusses the stateof-the art evidence on each of these social insurance systems, briefly reviews the empirical methods for identifying causal effects, and examines possible limitations to these methods.The findings reveal robust and rich evidence on first-stage behavioral responses ("moral hazard") to changes in insurance coverage. Surprisingly, evidence on how changes in coverage impact beneficiaries' health is scant and inconclusive. This lack of identified causal health effects is directly related to limitations on how human health is typically measured, limitations on the empirical approaches and a paucity of administrative panel data spanning long-time horizons. Future research must be conducted to fill these gaps. Of particular importance is evidence on how these social insurance systems interact and affect human health over the lifecycle and in the long-run. JEL Classification:H1, H5, I1, J2

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Did Medicare Part D Reduce Mortality?

Cited by 4 publications

References 36 publications

The effect of prescription drug insurance on health behavior: Evidence from Medicare Part D

The effect of prescription drug insurance on health behavior: Evidence from Medicare Part D

The mortality effects of changing public funding for home health care: An empirical analysis of Medicare home health care in the United States

Social Insurance and Health

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