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Preventive services for the elderly: Would coverage affect utilization and costs under Medicare?

Author

Listed:
  • Burton, L.C.
  • Steinwachs, D.M.
  • German, P.S.
  • Shapiro, S.
  • Brant, L.J.
  • Richards, T.M.
  • Clark, R.D.

Abstract

Objectives. This study was undertaken to determine whether adding a benefit for preventive services to older Medicare beneficiaries would affect utilization end costs under Medicare. Methods. The demonstration used an experimental design, enrolling 4195 older, community-dwelling Medicare recipients. Medicare claims data for the 2 years in which the preventive visits occurred were compared for the intervention (n = 2105) and control (n=2090) groups. Monthly allowable charges for Part A and Part B services and number of hospital discharges end ambulatory visits were compared. Results. There were no significant differences in the charges between the groups owing to the intervention, although total charges were somewhat lower for the intervention group even when the cost of the intervention was included. Charges for both groups rose significantly as would be expected for en aging population. A companion paper describes a modest health benefit. Conclusions. There appears to be a modest health benefit with no negative cost impact. This finding gives en early quantitative basis for the discussion of whether to extend Medicare benefits to include a general preventive visit from a primary care clinician.

Suggested Citation

  • Burton, L.C. & Steinwachs, D.M. & German, P.S. & Shapiro, S. & Brant, L.J. & Richards, T.M. & Clark, R.D., 1995. "Preventive services for the elderly: Would coverage affect utilization and costs under Medicare?," American Journal of Public Health, American Public Health Association, vol. 85(3), pages 387-391.
  • Handle: RePEc:aph:ajpbhl:1995:85:3:387-391_3
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    Citations

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    Cited by:

    1. Chun-Chih Chen & Yen-Ju Lin & Ying-Tzu Lin, 2013. "Awareness and utilization of preventive care services among the elderly under National Health Insurance," International Journal of Health Economics and Management, Springer, vol. 13(3), pages 247-260, December.
    2. Chen, Chin-Shyan & Peng, Yu-I & Lee, Ping-Chang & Liu, Tsai-Ching, 2015. "The effectiveness of preventive care at reducing curative care risk for the Taiwanese elderly under National Health Insurance," Health Policy, Elsevier, vol. 119(6), pages 787-793.
    3. Wei-Hua Tian & Joseph J. Tien, 2020. "Health Behaviors and Health Status among Middle-Aged and Older Adults with Chronic Diseases in Taiwan," IJERPH, MDPI, vol. 17(19), pages 1-15, October.
    4. Sungwook Yoon & Duk Bin Jun & Sungho Park, 2020. "The effect of general health checks on healthcare utilization: accounting for self‐selection bias," Journal of the Royal Statistical Society Series A, Royal Statistical Society, vol. 183(1), pages 3-36, January.
    5. Quan-Hoang Vuong, 2016. "Health communication, information technology and the public’s attitude toward periodic general health examination," Working Papers CEB 16-052, ULB -- Universite Libre de Bruxelles.
    6. Tian, Wei-Hua & Chen, Chin-Shyan & Liu, Tsai-Ching, 2010. "The demand for preventive care services and its relationship with inpatient services," Health Policy, Elsevier, vol. 94(2), pages 164-174, February.
    7. Quan-Hoang Vuong & Quang-Hoi Vu & Thu Trang Vuong, 2016. "What makes Vietnamese (not) attend periodic general health examinations? A cross-sectional study," Working Papers CEB 16-042, ULB -- Universite Libre de Bruxelles.
    8. Christian Salas, 2002. "On the empirical association between poor health and low socioeconomic status at old age," Health Economics, John Wiley & Sons, Ltd., vol. 11(3), pages 207-220, April.
    9. Quan-Hoang Vuong, 2017. "Psychological gender differences in general health examinations: evidence from a 2016 Vietnamese cross-section dataset," Working Papers CEB 17-005, ULB -- Universite Libre de Bruxelles.
    10. Quan-Hoang Vuong & Kien-Cuong P. Nghiem & Viet-Phuong La & Thu-Trang Vuong & Hong-Kong T. Nguyen & Manh-Toan Ho & Kien Tran & Thu-Hong Khuat & Manh-Tung Ho, 2019. "Sex Differences and Psychological Factors Associated with General Health Examinations Participation: Results from a Vietnamese Cross-Section Dataset," Sustainability, MDPI, vol. 11(2), pages 1-13, January.

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