Insurance Disruption due to Spousal Medicare Transitions: Implications for Access to Care and Health Care Utilization for Women Approaching Age 65

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 W...

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Bibliographic Details
Published in:Health services research 2009-06, Vol.44 (3), p.946-964
Main Authors: Schumacher, Jessica R., Smith, Maureen A., Liou, Jinn-Ing, Pandhi, Nancy
Format: Article
Language:English
Subjects:
access to care
Age
Age Factors
Aged
Attitude to Health
Demographic aspects
Disruption
Elderly women
Emergency medical care
Female
Health Benefit Plans, Employee - organization & administration
Health care access
Health Care Surveys
health care utilization
Health insurance
Health Services - utilization
Health Services Accessibility - organization & administration
Health Status
Helpseeking
Humans
Husbands
instrumental variables
Insurance
Insurance coverage
Insurance Coverage - organization & administration
Linear Models
Longitudinal Studies
Male
Married women
Medical care
Medical care utilization
Medicare
Medicare - organization & administration
Medicare and Medicaid
Mental health
Middle Aged
Multivariate Analysis
Socioeconomic Factors
Spouses
Studies
Surveys
United States
Utilization
Wisconsin
Wives
Women
Women - psychology
Women's Health
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Description
Summary: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
ISSN:0017-9124
1475-6773
DOI:10.1111/j.1475-6773.2009.00952.x