Cited by 494Healthcare Policy and ManagementEmergency and Acute Care StudiesHospital Admissions and Outcomes

The DOI matches its Crossref record; 38 of the 40 references it cites were found in a registry or an index.

Does Medicare Save Lives? *

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Card, David, Dobkin, Carlos, Maestas, Nicole·2009·Quarterly Journal of Economics

Abstract

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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Crossref · 10.1162/qjec.2009.124.2.597

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  1. Cutler David McClellan Mark Newhouse Joseph Triplett JE The Costs and Benefits of Intensive Treatment for Cardiovascular Disease Measuring the Prices of Medical Treatments Washington, DC Brookings Institution Press 1999

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Metadata

Authors
Card, D., Dobkin, C., & Maestas, N.
Affiliations
  • University of California, Berkeley (US)
  • University of California, Santa Cruz (US)
  • RAND Corporation (US)
Venue
Quarterly Journal of Economics
Published
2009-05
Volume
124
Issue
2
Pages
597-636
ISSN
  • 0033-5533 (ISSN-L)
  • 1531-4650
OpenAlex
W2145644832
Cited by
494
References
40
Citations by year
2026: 17 · 2025: 17 · 2024: 28 · 2023: 29 · 2022: 30 · 2021: 40 · 2020: 33 · 2019: 33 · 2018: 21 · 2017: 37 · 2016: 39 · 2015: 38 · 2014: 36 · 2013: 28 · 2012: 28
FWCI
48.48
Type
journal article
Language
en
Open access
Locations
  • The Quarterly Journal of Economics (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
  • RePEc: Research Papers in Economics (submittedVersion)
Funders
National Institute on Aging (R01AG026290, R03AG025155)
Topics
  • Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Healthcare Policy and Management
  • Health Sciences › Medicine › Emergency Medicine › Emergency and Acute Care Studies
  • Health Sciences › Nursing › Leadership and Management › Hospital Admissions and Outcomes
Keywords
Medicare, health insurance coverage, emergency department admission, hospital discharge, mortality, older adults, comorbidities, hospital procedures, life expectancy
MeSH terms
Aged, Medicare, Humans, Middle Aged, Mortality, United States

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