期刊
QUARTERLY JOURNAL OF ECONOMICS
卷 124, 期 2, 页码 597-636出版社
OXFORD UNIV PRESS INC
DOI: 10.1162/qjec.2009.124.2.597
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资金
- NIA NIH HHS [R03 AG025155-02, R03 AG025155-01, R01 AG026290, R01 AG026290-01A1, R01 AG026290-03, R01 AG026290-02, R03 AG025155] Funding Source: Medline
Health insurance characteristics shift at age 65 as most people become eligible for Medicare. We measure the impacts of these changes on patients who are admitted to hospitals through emergency departments for conditions with similar admission rates on weekdays and weekends. The age profiles of admissions and comorbidities for these patients are smooth at age 65, suggesting that the severity of illness is similar on either side of the Medicare threshold. In contrast, the number of procedures performed in hospitals and total list charges exhibit small but statistically significant discontinuities, implying that patients over 65 receive more services. We estimate a nearly 1-percentage-point drop in 7-day mortality for patients at age 65, equivalent to a 20% reduction in deaths for this severely ill patient group. The mortality gap persists for at least 9 months after admission.
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