The Association Between Medicare Eligibility and Gains in Access to Rehabilitative Care

Zogg, Cheryl K.; Scott, John W.; Metcalfe, David; Seshadri, Anupamaa; Tsai, Thomas C.; Davis, William A.; Rose, John; Olufajo, Olubode A.; Zafar, Syed Nabeel; Salim, Ali; Haider, Adil H.

doi:10.1097/sla.0000000000001754

Cited by 12 publications

(12 citation statements)

References 20 publications

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“…The regression discontinuity (RD) design is a rigorous quasi-experimental approach that can be used to estimate intervention impacts as long as the intervention adopts a continuous measure (force variable) with a clearly defined threshold (cut-off score) to determine who is eligible and who is not [ 54 ]. RD can both identify causal relationships and mitigate the endogenous problems arising from reverse causality and misspecification [ 55 – 58 ].…”

Section: Methodsmentioning

confidence: 99%

How and to what extent can pensions facilitate increased use of health services by older people: evidence from social pension expansion in rural China

Chen

Law

et al. 2020

BMC Health Serv Res

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Background The proportion of people aged 60 years or over is growing faster than other age groups. Traditionally, retirement has been considered as both a loss to the labour market and an additional economic burden on the nation. More recently, it is widely accepted that retired people can still contribute to society in many ways, though the extent of their contributions will depend heavily on their state of health. In this context, a significant practical issue is how to encourage older people to use the health services they need. This study aims to evaluate the effects of pensions on older adults’ health service utilization, and estimate the level of pension required to influence such utilization. Methods Using data from a nationally representative sample survey, the China Health and Retirement Longitudinal Study, we adopted a fuzzy regression discontinuity design and undertook segmented regression analysis. Results It was found that a pension did encourage low-income people to use both outpatient (OR = 1.219, 95% 1.018–1.460) and inpatient services (OR = 1.269, 95% 1.020–1.579); but also encouraged both low- and high-income people to choose self-treatment, specifically over-the-counter (OR = 1.208, 95% 1.037–1.407; OR = 1.206, 95% 1.024–1.419; respectively) and traditional Chinese medicines (OR = 1.452, 95% 1.094–1.932; OR = 1.456, 95% 1.079–1.955; respectively). However, receiving a pension had no effect on the frequency of outpatient and inpatient service use. Breakpoints for a pension to promote health service utilization were mainly located in the range 55–95 CNY (7.1–12.3 EUR or 8.0–13.8 USD). Conclusions A pension was found to have mixed effects on health service utilization for different income groups. Our study enriches existing evidence on the impact of pensions on healthcare-seeking behaviour and can be helpful in policy design and the formulation of improved models relating to pensions and healthcare utilisation.

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Section: Methodsmentioning

confidence: 99%

How and to what extent can pensions facilitate increased use of health services by older people: evidence from social pension expansion in rural China

Chen

Law

et al. 2020

BMC Health Serv Res

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“…We also report that patients with Medicare have higher odds of non-home discharge. Prior analyses have come to similar conclusions, with Medicare patients more likely to be discharged to another healthcare facility after hospitalization [ 25 , 27 , 34 , 35 ]. However, these studies exclusively focused on patients of all types of trauma in the NTDB or patients with traumatic brain injuries, but no patients with traumatic SCI as was the focus of the present study.…”

Section: Discussionmentioning

confidence: 83%

Influence of socioeconomic factors on discharge disposition following traumatic cervicothoracic spinal cord injury at level I and II trauma centers in the United States

Hagan

Pertsch

Leary

et al. 2022

North American Spine Society Journal (NASSJ)

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“…The regression discontinuity (RD) design is a rigorous quasi-experimental approach that can be used to estimate intervention impacts as long as the intervention adopts a continuous measure (force variable) with a clearly defined threshold (cut-off score) to determine who is eligible and who is not ( 51 ). RD can both identify causal relationships and mitigate the endogenous problems arising from reverse causality and misspecification ( 52 – 55 ).…”

Section: Methodsmentioning

confidence: 99%

Does Social Pension Expansion Relieve Depression and Decrease Medical Costs? Evidence From the Rural Elderly in China

Zhou

Sun

Huang

2022

Int J Public Health

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Objectives: This study was designed to explore the effect of the New Rural Pension Scheme on depressive symptoms or medical costs induced by depression.Methods: We used the Logit, OLS and 2SLS models to explore the impact of the pension on depression and medical costs. We also adopt the method of quantile regression and discontinuity regression to verify the causal relationship between the New Rural Pension Scheme and depression or medical costs induced by depression of the rural elderly.Results: We have found that the New Rural Pension Scheme decreases depressive symptoms of elderly in rural China (OR = 0.90), and the medical costs induced by depressive symptoms by 4.6%. Regression discontinuity results showed that pension significantly reduced the depressive symptoms (depression) and the medical expenditure caused by depressive symptoms (depression) by using parametric and non-parametric methods, and performing a placebo test. The mediating effect results showed that pension may improve mental health by increasing confidence about the future.Conclusion: We demonstrate that the pension significantly decreased both mental health problems and the medical expenses due to depressive symptoms and depression of elderly in rural China. Therefore, our results suggest that the Chinese government should perfect the New Rural Pension Scheme to eliminate barriers to mental health resources, especially for the rural elderly.

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The Association Between Medicare Eligibility and Gains in Access to Rehabilitative Care

Abstract: The results reveal the magnitude of changes in access to rehabilitation associated with changes in insurance coverage at age 65 years. Use of quasiexperimental models enabled meaningful consideration of health-policy change.

Cited by 12 publications

References 20 publications

How and to what extent can pensions facilitate increased use of health services by older people: evidence from social pension expansion in rural China

How and to what extent can pensions facilitate increased use of health services by older people: evidence from social pension expansion in rural China

Influence of socioeconomic factors on discharge disposition following traumatic cervicothoracic spinal cord injury at level I and II trauma centers in the United States

Does Social Pension Expansion Relieve Depression and Decrease Medical Costs? Evidence From the Rural Elderly in China

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