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The Long-Term Effect of Health Insurance on Near-Elderly Health and Mortality

Black, B; Espin-Sanchez, J-A; French, E; Litvak, K; (2017) The Long-Term Effect of Health Insurance on Near-Elderly Health and Mortality. American Journal of Health Economics , 3 (3) pp. 281-311. 10.1162/ajhe_a_00076. Green open access

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Abstract

We use the best available longitudinal data set, the Health and Retirement Study, and a battery of causal inference methods to provide both central estimates and bounds for the long-term effect of health insurance on health and mortality among the near-elderly (initial age 50–61) over a 20-year period. Compared with matched insured persons, those uninsured in 1992 consume fewer health-care services, but their health (while alive) does not deteriorate relative to the insured, and, in our central estimates, they do not die significantly faster than the insured. Our upper and lower bounds suggest that prior studies have greatly overestimated the health and mortality benefits of providing health insurance to the uninsured.

Type: Article
Title: The Long-Term Effect of Health Insurance on Near-Elderly Health and Mortality
Open access status: An open access version is available from UCL Discovery
DOI: 10.1162/ajhe_a_00076
Publisher version: https://doi.org/10.1162/ajhe_a_00076
Language: English
Additional information: This is an open access article published under a Creative Commons Attribution 3.0 Unported (CC BY 3.0) license.
Keywords: Social Sciences, Science & Technology, Life Sciences & Biomedicine, Economics, Health Policy & Services, Business & Economics, Health Care Sciences & Services, health insurance, mortality, MEDICARE BENEFICIARIES, IMPROVE HEALTH, OREGON HEALTH, CARE, COVERAGE, ACCESS, ADULTS, AGE, OUTCOMES, DECLINE
UCL classification: UCL
UCL > Provost and Vice Provost Offices > UCL SLASH
UCL > Provost and Vice Provost Offices > UCL SLASH > Faculty of S&HS
UCL > Provost and Vice Provost Offices > UCL SLASH > Faculty of S&HS > Dept of Economics
URI: https://discovery.ucl.ac.uk/id/eprint/10059684
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