Huh Jason, Reif Julian
University of Illinois at Urbana-Champaign, United States.
University of Illinois at Urbana-Champaign, United States.
J Health Econ. 2017 May;53:17-37. doi: 10.1016/j.jhealeco.2017.01.005. Epub 2017 Feb 14.
We investigate the implementation of Medicare Part D and estimate that this prescription drug benefit program reduced elderly mortality by 2.2% annually. This was driven primarily by a reduction in cardiovascular mortality, the leading cause of death for the elderly. There was no effect on deaths due to cancer, a condition whose drug treatments are covered under Medicare Part B. We validate these results by demonstrating that the changes in drug utilization following the implementation of Medicare Part D match the mortality patterns we observe. We calculate that the value of the mortality reduction is equal to $5 billion per year.
我们对医疗保险D部分的实施情况进行了调查,并估计该处方药福利计划每年将老年人死亡率降低了2.2%。这主要是由于心血管疾病死亡率的下降,而心血管疾病是老年人的主要死因。对于癌症导致的死亡没有影响,因为癌症的药物治疗在医疗保险B部分涵盖范围内。我们通过证明医疗保险D部分实施后药物使用的变化与我们观察到的死亡率模式相匹配来验证这些结果。我们计算得出,死亡率降低的价值相当于每年50亿美元。