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Health Affairs, 23, no. 4 (2004): 223-233
doi: 10.1377/hlthaff.23.4.223
© 2004 by Project HOPE
 
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DataWatch

Health Insurance Coverage And Mortality Among The Near-Elderly

J. Michael McWilliams, Alan M. Zaslavsky, Ellen Meara and John Z. Ayanian

Uninsured near-elderly people may be particularly at risk for adverse health outcomes. We compared mortality of a nationally representative cohort of insured and uninsured near-elderly people with stratification by race; income; and the presence of diabetes, hypertension, or heart disease, using propensity-score methods to adjust for numerous characteristics. Lacking health insurance was associated with substantially higher adjusted mortality among adults who were white; had low incomes; or had diabetes, hypertension, or heart disease. Expanding coverage to the near-elderly uninsured may greatly improve health outcomes for these groups.


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