The Effect of Insurance on Health: Evidence from Increased Access Before Age 65
保险对健康的影响:来自 65 岁之前保险机会增加的证据
基本信息
- 批准号:9767643
- 负责人:
- 金额:$ 6.89万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2018
- 资助国家:美国
- 起止时间:2018-09-01 至 2022-05-31
- 项目状态:已结题
- 来源:
- 关键词:AdultAffectAgeCaringChildChronicDataDiagnosisElderlyEligibility DeterminationEnsureExposure toFundingHealthHealth InsuranceHealth Services AccessibilityHealth StatusHealth TechnologyHealthcareHealthcare SystemsHigh PrevalenceHospitalizationInsuranceInsurance CoverageLongitudinal SurveysLow incomeMedicaidMedicalMedical TechnologyMedicareOutcomePatient Self-ReportPersonal SatisfactionPoliciesPopulationPrevalencePreventive carePrivatizationProductionProxyResearch DesignTestingTimeTranslatingUninsuredVariantWorkage groupbarrier to carebasedisabilityexperimental analysisgeographic differencehealth care availabilityimprovedinnovationmortalitypopulation healthprogramswardyoung adult
项目摘要
Summary/Abstract
Access to health insurance among the near elderly has increased dramatically in recent years due to the
expansion of state Medicaid programs and subsidies for private coverage, creating the potential to improve the
health and well-being of this population. Health insurance increases access to health care, and recent
innovations in medical technology may disproportionally benefit this population due to their high prevalence of
chronic health conditions and their poor health relative to younger adults. Very little evidence exists, however,
on the effects of health insurance on health outcomes among people 45 to 64. This evidence is essential for
understanding the extent to which the health care system is translating advances in health care technology into
better health for older adults.
The objective of this project is to understand how access to health care affects health among the near elderly.
Our project has the following two specific aims: 1) to determine how health insurance affects health care use
among the near elderly and; 2) to determine how health insurance affects the health of the near elderly. We
will achieve these aims by conducting quasi-experimental analyses of longitudinal survey and administrative
claims data exploiting geographic variation in the availability of subsidized health insurance to low-income
near-elderly adults during the time period 2010-2016. While our analyses will generally take the form of a
“difference-in-difference” identification strategy, comparing changes over time in relevant outcomes between
groups exposed to a coverage expansion relative to those not exposed, we will use several different
approaches to examining the effects of policy-induced variation in exposure to health insurance, including
examining differences between states that expanded their Medicaid programs as part of the broader
expansions that started in 2014, examining states that expanded Medicaid coverage early to low income adults
prior to 2014, and analyzing transitions into Medicare for both groups.
By achieving these aims, we will provide some of the first evidence on the contemporary effects of health care
access on health outcomes for older adults in the 45-64 age range. This evidence is crucial for understanding
the extent to which the U.S. health care system is translating biomedical discoveries and advances in
preventive care into improved population health, focusing on those who may benefit most from greater access
to care. Our analyses will also provide new evidence on how different publicly funded programs, specifically
Medicare and the under-65 programs of Medicaid and subsidies for private insurance, interact in the
production of health.
总结/摘要
近几年来,近老年人获得医疗保险的机会急剧增加,
扩大州医疗补助计划和私人保险补贴,创造改善医疗保险的潜力。
这一群体的健康和福祉。健康保险增加了获得医疗保健的机会,最近
医疗技术的创新可能会使这一人群受益,因为他们的高患病率
与年轻人相比,他们的慢性健康状况和健康状况较差。然而,几乎没有证据表明,
关于健康保险对45至64岁人群健康结果的影响。这些证据对于
了解医疗保健系统在多大程度上将医疗保健技术的进步转化为
更好的老年人健康。
该项目的目标是了解获得保健服务的机会如何影响近老年人的健康。
我们的项目有以下两个具体目标:1)确定健康保险如何影响医疗保健使用
(2)确定健康保险如何影响近老年人的健康。我们
将通过对纵向调查和行政管理进行准实验分析来实现这些目标。
索赔数据利用低收入者获得补贴医疗保险的地理差异
2010年至2016年期间的近老年人。虽然我们的分析通常会采用
"差异中的差异"识别战略,比较
相对于那些没有暴露的群体,暴露于覆盖范围扩展的群体,我们将使用几种不同的
研究政策引起的健康保险风险变化的影响的方法,包括
检查各州之间的差异,扩大他们的医疗补助计划,作为更广泛的一部分,
2014年开始的扩展,检查了早期将医疗补助覆盖范围扩大到低收入成年人的州
在2014年之前,并分析两个群体向医疗保险的过渡。
通过实现这些目标,我们将提供有关医疗保健当代影响的一些初步证据
45 - 64岁年龄段的老年人获得健康结果的机会。这一证据对于理解
美国医疗保健系统在多大程度上转化了生物医学的发现和进步,
将预防保健纳入改善人口健康的工作,重点是那些可能从更多的机会中受益最多的人
在意我们的分析还将提供新的证据,说明不同的公共资助项目,特别是
医疗保险和65岁以下的医疗补助计划以及对私人保险的补贴,
生产健康。
项目成果
期刊论文数量(1)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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KOSALI ILAYPERUMA SIMON其他文献
KOSALI ILAYPERUMA SIMON的其他文献
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{{ truncateString('KOSALI ILAYPERUMA SIMON', 18)}}的其他基金
Differences In Incentives Between Stand Alone Medicare Drug Coverage vs Medicare
独立医疗保险药物承保与医疗保险之间的激励差异
- 批准号:
7896221 - 财政年份:2010
- 资助金额:
$ 6.89万 - 项目类别:
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