Recessions and seniors’ health, health behaviors, and healthcare use: Analysis of the Medicare Current Beneficiary Survey

McInerney, Melissa; Mellor, Jennifer M.

doi:10.1016/j.jhealeco.2012.06.002

Cited by 117 publications

(98 citation statements)

References 32 publications

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“…Multilevel studies also suggested that state-level unemployment as well as census-tract foreclosure risk was associated with declining SRH [26, 28, 29]. Results from most aggregate-level studies suggested a decline in SRH with the Great Recession, as well [25, 30].…”

Section: Resultsmentioning

confidence: 99%

Health Impacts of the Great Recession: a Critical Review

et al. 2016

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The severity, sudden onset, and multipronged nature of the Great Recession (2007–2009) provided a unique opportunity to examine the health impacts of macroeconomic downturn. We comprehensively review empirical literature examining the relationship between the Recession and mental and physical health outcomes in developed nations. Overall, studies reported detrimental impacts of the Recession on health, particularly mental health. Macro- and individual-level employment- and housing-related sequelae of the Recession were associated with declining fertility and self-rated health, and increasing morbidity, psychological distress, and suicide, although traffic fatalities and population-level alcohol consumption declined. Health impacts were stronger among men and racial/ethnic minorities. Importantly, strong social safety nets in some European countries appear to have buffered those populations from negative health effects. This literature, however, still faces multiple methodological challenges, and more time may be needed to observe the Recession’s full health impact. We conclude with suggestions for future work in this field.

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Section: Resultsmentioning

confidence: 99%

Health Impacts of the Great Recession: a Critical Review

et al. 2016

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“…Using methods and data similar to Ruhm (2000), Stevens et al (2011) find that a one percentage point increase in the state unemployment rate was associated with a 0.40% reduction in total mortality from 1978 to 1991, but a smaller 0.19% decrease when extending the analysis through 2006 6 . McInerney and Mellor (2012) estimate that a onepoint rise in joblessness lowered the mortality rates of persons 65 and over by 0.27% during 1976-1991, but raised them 0.49% from 1994 to 2008. Svensson (2007) uncovers a positive relationship between Swedish unemployment rates and heart attack deaths from 1987 to 2003 7 .…”

Section: Introductionmentioning

confidence: 99%

Recessions, healthy no more?

Ruhm

2015

Journal of Health Economics

279

157

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Over the 1976-2010 period, total mortality shifted from strongly procyclical to being weakly or unrelated to macroeconomic conditions. The association is likely to be poorly measured when using short (less than 15 year) analysis periods. Deaths from cardiovascular disease and transport accidents continue to be procyclical; however, countercyclical patterns have emerged for fatalities from cancer mortality and external causes. Among the latter, non-transport accidents, particularly accidental poisonings, play an important role.

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“…In analysis conducted with four waves of data from the Community Tracking Study Physician Survey, higher state unemployment rates were associated with an increase in physicians' willingness to accept new Medicare patients. 35 These types of supply-side responses are worth additional consideration by policy makers for several reasons. First, we observe increases in use by fee-for-service beneficiaries timed with higher unemployment.…”

Section: 2mentioning

confidence: 99%

State Unemployment In Recessions During 1991–2009 Was Linked To Faster Growth In Medicare Spending

McInerney

Mellor

2012

Health Affairs

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During the US recession of 2007-09, overall health care spending growth fell, but Medicare spending growth increased. Using state-level data from the period 1991-2009, we show that these divergent trends were also observed within states. Furthermore, increases in state unemployment rates were associated with higher Medicare spending per capita and increased hospital use by Medicare beneficiaries. For example, a one-percentage-point point rise in the unemployment rate was associated with a $40 (0.7 percent) increase in Medicare spending per capita. Our results suggest that economic downturns contribute to Medicare spending and use. One of many possible explanations may be that health care providers have greater capacity, inclination, and financial incentive to treat Medicare patients during recessions as a result of slackening demand from the non-Medicare population.

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Recessions and seniors’ health, health behaviors, and healthcare use: Analysis of the Medicare Current Beneficiary Survey

Cited by 117 publications

References 32 publications

Health Impacts of the Great Recession: a Critical Review

Health Impacts of the Great Recession: a Critical Review

Recessions, healthy no more?

State Unemployment In Recessions During 1991–2009 Was Linked To Faster Growth In Medicare Spending

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