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The costs and benefits of intensive treatment for cardiovascular disease

Author: David M Cutler; Mark B McClellan; Joseph P Newhouse; National Bureau of Economic Research.
Publisher: Cambridge, MA : National Bureau of Economic Research, ©1998.
Series: Working paper series (National Bureau of Economic Research), working paper no. 6514.
Edition/Format:   eBook : Document : National government publication : EnglishView all editions and formats
Database:WorldCat
Summary:
Abstract: This paper examines the causes and consequences of reductions in cardiovascular disease mortality, and in particular heart attack mortality, over the past several decades. Analysis of data from Medicare and review of the clinical literature indicate that a large share of the recent decline in heart attack mortality is a result of new medical interventions and increased use of existing interventions. Much  Read more...
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Additional Physical Format: Print version:
Cutler, David M.
Costs and benefits of intensive treatment for cardiovascular disease.
Cambridge, MA : National Bureau of Economic Research, ©1998
(OCoLC)39277217
Material Type: Document, Government publication, National government publication, Internet resource
Document Type: Internet Resource, Computer File
All Authors / Contributors: David M Cutler; Mark B McClellan; Joseph P Newhouse; National Bureau of Economic Research.
OCLC Number: 326805500
Notes: "April 1998."
Description: 1 online resource (34, [14] pages) : illustrations.
Series Title: Working paper series (National Bureau of Economic Research), working paper no. 6514.
Responsibility: David Cutler, Mark McClellan, Joseph Newhouse.

Abstract:

Abstract: This paper examines the causes and consequences of reductions in cardiovascular disease mortality, and in particular heart attack mortality, over the past several decades. Analysis of data from Medicare and review of the clinical literature indicate that a large share of the recent decline in heart attack mortality is a result of new medical interventions and increased use of existing interventions. Much of the mortality improvement appears to be the result of changes in the use of pharmaceuticals such as aspirin and clot-busting (thrombolytic) drugs. Greater use of these and other intensive medical procedures have increased the cost of treating heart attacks but have also lead to health improvements. We estimate that the value of improved health is greater than the increased cost of heart attack care, so that the cost of living for people with a heart attack is falling. We present preliminary evidence that patients in managed care receive nearly similar treatment for heart attacks compared to patients with traditional indemnity insurance, but that managed care insurers pay less for the same treatments than do traditional insurers.

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