000			02417cam a22003257 4500
001			w6514
003			NBER
005			20211020113859.0
006			m o d
007			cr cnu||||||||
008			210910s1998 mau fo 000 0 eng d
100	1		_aCutler, David. _928169
245	1	4	_aThe Costs and Benefits of Intensive Treatment for Cardiovascular Disease / _cDavid Cutler, Mark McClellan, Joseph Newhouse.
260			_aCambridge, Mass. _bNational Bureau of Economic Research _c1998.
300			_a1 online resource: _billustrations (black and white);
490	1		_aNBER working paper series _vno. w6514
500			_aApril 1998.
520	3		_aThis 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.
530			_aHardcopy version available to institutional subscribers
538			_aSystem requirements: Adobe [Acrobat] Reader required for PDF files.
538			_aMode of access: World Wide Web.
588	0		_aPrint version record
700	1		_aMcClellan, Mark. _916396
700	1		_aNewhouse, Joseph.
710	2		_aNational Bureau of Economic Research.
830		0	_aWorking Paper Series (National Bureau of Economic Research) _vno. w6514.
856	4	0	_uhttps://www.nber.org/papers/w6514
856			_yAcceso en línea al DOI _uhttp://dx.doi.org/10.3386/w6514
942			_2ddc _cW-PAPER
999			_c341767 _d300329