
<oai_dc:dc xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/ http://www.openarchives.org/OAI/2.0/oai_dc.xsd">
  <dc:title>Medicare Part D and the financial protection of the elderly</dc:title>
  <dc:title>Center for Retirement Research working paper</dc:title>
  <dc:subject>Financing, Personal</dc:subject>
  <dc:subject>Health Expenditures</dc:subject>
  <dc:subject>Insurance, Pharmaceutical Services -- economics</dc:subject>
  <dc:subject>Medicare Part D -- economics</dc:subject>
  <dc:description>We examine the impact of the expansion of public prescription prescription-drug insurance coverage from Medicare Part D has had on the elderly and find evidence of substantial crowd-out. Using detailed data from the 2002-6 waves of the Medical Expenditure Panel Survey (MEPS), we estimate that the extension of Part D benefits resulted in 75% crowd-out of prescription drug insurance coverage and 33%-50% crowd-out of prescription drug expenditures of those 65 and older. Part D is associated with relatively small reductions in out-of-pocket spending. This suggests that the welfare gain from protecting the elderly from out-of-pocket spending risk through Part D has been small.</dc:description>
  <dc:publisher>Chestnut Hill, MA : Center for Retirement Research at Boston College, c2009</dc:publisher>
  <dc:contributor>Engelhardt, Gary V.</dc:contributor>
  <dc:contributor>Gruber, Jonathan.</dc:contributor>
  <dc:contributor>Boston College. Center for Retirement Research.</dc:contributor>
  <dc:type>Technical Report</dc:type>
  <dc:format>Text</dc:format>
  <dc:format>Illustrations</dc:format>
  <dc:format>44 p.</dc:format>
  <dc:identifier>nlm:nlmuid-101519291-pdf</dc:identifier>
  <dc:identifier>101519291</dc:identifier>
  <dc:identifier>http://resource.nlm.nih.gov/101519291</dc:identifier>
  <dc:language>English</dc:language>
  <dc:coverage>United States</dc:coverage>
  <dc:rights>Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY license. https://creativecommons.org/licences/by/4.0</dc:rights>
</oai_dc:dc>
