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Insurance Disruption due to Spousal Medicare Transitions: Implications for Access to Care and Health Care Utilization for Women Approaching Age 65
Author(s) -
Schumacher Jessica R.,
Smith Maureen A.,
Liou JinnIng,
Pandhi Nancy
Publication year - 2009
Publication title -
health services research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.706
H-Index - 121
eISSN - 1475-6773
pISSN - 0017-9124
DOI - 10.1111/j.1475-6773.2009.00952.x
Subject(s) - spouse , medicine , health care , health insurance , probit model , demography , gerontology , family medicine , machine learning , sociology , anthropology , computer science , economics , economic growth
Objective. To assess whether a husband's Medicare transition leads to insurance disruptions for his wife that impact her perceived access to care, health care utilization, or health status. Data Sources/Study Setting. Respondents were married women under age 65 from the 2003–2005 round of the Wisconsin Longitudinal Study ( N =655). Study Design. Instrumental variable (IV) linear and IV‐probit analyses provided unbiased estimates of the effect of an insurance disruption on study outcomes. The instrument was the husband's age: (1) women with husbands who transitioned to Medicare within the previous year (age 65–66); (2) women with husbands who did not transition (60