Effects of prescription drug insurance on hospitalization and mortality: evidence from medicare part D

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<title>Effects of prescription drug insurance on hospitalization and mortality: evidence from medicare part D</title>
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<namePart>Kaestner, Robert</namePart>
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<namePart>Schiman, Cuping</namePart>
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<namePart>Alexander, G. Caleb</namePart>
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<abstract displayLabel="Summary">We used Medicare administrative data (20022009) and an instrumental  variables design that exploits the natural experiment created by the implementation of Medicare Part D to estimate the effect of prescription drug coverage insurance on the use and costs of inpatient  services. We find that gaining prescription drug insurance through Part D caused approximately a 4 percent decrease in hospital admission rate, a 25 percent decrease in Medicare inpatient payments per person, and a 1015 percent decrease in inpatient charges. Among specific types of admissions, gaining insurance was associated with significant decreases in admissions for CHF and COPD.</abstract>
<note type="statement of responsibility">Robert Kaestner, Cuping Schiman, G. Caleb Alexander</note>
<subject xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="MAPA20080626310">
<topic>Seguro de asistencia sanitaria</topic>
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<subject xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="MAPA20080563288">
<topic>Medicamentos</topic>
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<subject xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="MAPA20080554750">
<topic>Hospitales</topic>
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<subject xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="MAPA20080555306">
<topic>Mortalidad</topic>
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<title>The Journal of risk and insurance</title>
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<publisher>Nueva York : The American Risk and Insurance Association, 1964-</publisher>
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<identifier type="issn">0022-4367</identifier>
<identifier type="local">MAP20077000727</identifier>
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<text>02/09/2019 Volumen 86 Número 3 - septiembre 2019 , p. 595-628</text>
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