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Spillover Effects of the Uninsured 6.17.09

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Leonard Davis Institute of Health Economics
Leonard Davis Institute of Health Economics

Author: Stacey McMorrow

Health & Medicine
1 of 1
Spillover effects of the uninsured: The impact of local uninsurance rates on Medicare inpatient quality Stacey Mc Morrow The Wharton School, University of Pennsylvania ,[object Object],This project was supported by grant number R36HS017384 from the Agency for Healthcare Research and Quality. The content is solely the responsibility of the author and does not necessarily represent the official views of the Agency for Healthcare Research and Quality. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Background ,[object Object],[object Object],Objectives ,[object Object],[object Object],[object Object],[object Object],Abstract ,[object Object],[object Object],[object Object],[object Object],Methods Results Conclusions ,[object Object],[object Object],Policy Implications Sample MSAs, by change in uninsurance rate, 1996-97 to 2002-03 Less than -4% 9 -4% to -2% 6 -2% to 0 20 0 to 2% 36 2% to 4% 20 Greater than 4% 9 Source: March 1996-97 and 2002-03 CPS Impact of the local uninsurance rate on Medicare inpatient mortality Small Markets Large Markets CABG Mortality 1.032 1.013 AMI Mortality 1.007 0.987 Stroke Mortality 1.014 0.992 GI Hemorrhage Mortality 1.007 1.000 Hip Fracture Mortality 1.043 0.968 Pneumonia Mortality 1.014 0.986 Notes: Odds ratios above one indicate negative spillover effect; Those in bold (italics) indicate significance at .05 (.10) level

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