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Affording To Wait: Medicare Initiation And The Use Of Health Care

Author

Listed:
  • Guy David
  • Phil Saynisch
  • Victoria Acevedo‐Perez
  • Mark D. Neuman

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 © 2011 John Wiley & Sons, Ltd.

Suggested Citation

  • Guy David & Phil Saynisch & Victoria Acevedo‐Perez & Mark D. Neuman, 2012. "Affording To Wait: Medicare Initiation And The Use Of Health Care," Health Economics, John Wiley & Sons, Ltd., vol. 21(8), pages 1030-1036, August.
    • Handle: RePEc:wly:hlthec:v:21:y:2012:i:8:p:1030-1036
    DOI: 10.1002/hec.1772
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    References listed on IDEAS

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    1. Lichtenberg Frank R., 2002. "The Effects of Medicare on Health Care Utilization and Outcomes," Forum for Health Economics & Policy, De Gruyter, vol. 5(1), pages 1-29, January.
    2. Powell-Griner, E. & Bolen, J. & Bland, S., 1999. "Health care coverage and use of preventive services among the near elderly in the United States," American Journal of Public Health, American Public Health Association, vol. 89(6), pages 882-886.
    3. David Card & Carlos Dobkin & Nicole Maestas, 2008. "The Impact of Nearly Universal Insurance Coverage on Health Care Utilization: Evidence from Medicare," American Economic Review, American Economic Association, vol. 98(5), pages 2242-2258, December.
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    3. Rapp, Thomas, 2014. "Patients' diagnosis decisions in Alzheimer's disease: The influence of family factors," Social Science & Medicine, Elsevier, vol. 118(C), pages 9-16.

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