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The Effect of Prescription Drug Coverage on Mortality: Evidence from Medicaid Implementation

机译:处方药覆盖率对死亡率的影响:医疗补助实施的证据

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This paper estimates the effect of Medicaid prescription drug spending on mortality. I use the group-and state-specific roll out of Medicaid drug coverage to isolate plausibly exogenous variation in drug expenditures. I find that a $1 increase in Medicaid drug expenditures per resident reduces mortality from internal causes by 2.0 deaths per hundred thousand, a decline of 0.23%.1 find relatively large effects for: (1) medically-treated diseases which pose an immediate risk of death, (2) impoverished areas which received a disproportionate share of state Medicaid dollars, and (3) areas with a high ratio of medical to surgical physicians. (C) 2018 Elsevier B.V. All rights reserved.
机译:本文估算了医疗补助处方药支出对死亡率的影响。我使用了针对医疗补助计划的特定群体和特定州推出的计划,以隔离看似合理的药物支出外生变化。我发现,每位居民每增加1美元的医疗补助药物支出,就可以将内因性疾病的死亡率降低20万人/十万,下降0.23%。1发现以下方面的影响相对较大:(1)药物治疗疾病会立即造成患病风险死亡;(2)贫困地区获得的州医疗补助金比例不成比例;(3)医疗医生和外科医师比例高的地区。 (C)2018 Elsevier B.V.保留所有权利。

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