Health Care Management Papers

Document Type

Journal Article

Date of this Version

8-2012

Publication Source

Health Economics

Volume

21

Issue

8

Start Page

1030

Last Page

1036

DOI

10.1002/hec.1772

Abstract

Delays in receipt of necessary diagnostic and therapeutic medical procedures related to the timing of Medicare initiation at age 65 years have potentially broad welfare implications. We use 2005–2007 data from Florida and North Carolina to estimate the effect of initiation of Medicare benefits on healthcare utilization across procedures that differ in urgency and coverage. In particular, we study trends in the use of elective procedures covered by Medicare to treat conditions that vary in symptoms; these are compared with elective surgical procedures not eligible for Medicare reimbursement, and to a set of urgent and emergent procedures. We find large discontinuities in health services utilization at age 65 years concentrated among low urgency, Medicare‐reimbursable procedures, most pronounced among screening interventions and treatments for minimally symptomatic disease.

Copyright/Permission Statement

Copyright © 2011 John Wiley & Sons, Ltd.

Keywords

insurance, medicare initiation

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Date Posted: 27 November 2017