Health Insurance Coverage And Mortality Among The Near-Elderly

J. Michael McWilliams · Alan M. Zaslavsky · Ellen R. Meara · John Z. Ayanian

207 citations0/0 files storedHealth Affairs

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Healthcare Policy and Management Healthcare Systems and Reforms Health disparities and outcomes

Abstract

Uninsured near-elderly people may be particularly at risk for adverse health outcomes. We compared mortality of a nationally representative cohort of insured and uninsured near-elderly people with stratification by race; income; and the presence of diabetes, hypertension, or heart disease, using propensity-score methods to adjust for numerous characteristics. Lacking health insurance was associated with substantially higher adjusted mortality among adults who were white; had low incomes; or had diabetes, hypertension, or heart disease. Expanding coverage to the near-elderly uninsured may greatly improve health outcomes for these groups.

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References

1999The Latino mortality paradox: a test of the "salmon bias" and healthy migrant hypotheses.2001Is Technological Change In Medicine Worth It?2002Prejudice, clinical uncertainty and stereotyping as sources of health disparities 1996Paradox as paradigm--the health outcomes of Mexican Americans.2003Impact of Medicare Coverage on Basic Clinical Services for Previously Uninsured Adults 2003Racial and Ethnic Disparities in the Primary Care Experiences of Children: A Review of the Literature

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