In the last two decades, Medicare spending has doubled in real terms despite the fact that the health of Medicare beneficiaries improved over this period. The goals of this paper are to document how trends in spending by age have changed among elderly Medicare beneficiaries in the last decade...

This essay compares early experience with implementing two strongly centralizing acts in the field of social welfare, one the Supplemental Security Income program in 1974 and the other Medicare Part D, the prescription drug program for the aged and disabled, in 2006. It contrasts the...

This paper constructs a rich model of saving for retired single people. Our framework allows for bequest motives and heterogeneity in medical expenses and life expectancies. We estimate the model using AHEAD data and the method of simulated moments. The data show that out-of-pocket medical...

People have heterogenous life expectancies: women live longer than men, rich people live longer than poor people, and healthy people live longer than sick people. People are also subject to heterogenous out of pocket medical expense risk. We show that all of these dimensions of heterogeneity are...

The health insurance characteristics of the population changes sharply at age 65 as most people become eligible for Medicare. But do these changes matter for health? We address this question using data on over 400,000 hospital admissions for people who are admitted through the emergency room for...

During each annual election period, from November 15 to December 31, individuals enrolled in valid Medicare prescription drug plans (PDPs) can switch to another plan. Those who are eligible for Medicare Part D but are not enrolled can also register. The number of PDPs available increased 31...

Annual Medicare premiums can be adjusted upward significant based on something called IRMAA. IRMAA is based on the AGI of your recent taxes. The cutoffs are such that $1.00 over the limit can change someone's premiums by thousands of dollars a year. There are a few waivers that can be applied for

We analyze Medicare Part D's net effect on elderly out-of-pocket (OOP) costs and use of prescription drugs using a dataset containing 1.4 billion prescription records from Wolters Kluwer Health (WKH). These data span the period December 2004-December 2007 and include pharmacy customers whose age...

Basic economic theory suggests that health insurance coverage may cause a reduction in prevention activities, but empirical studies have yet to provide much evidence to support this prediction. However, in other insurance contexts that involve adverse health events, evidence of ex ante moral...