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Mortality of the Extreme Aged in the United States in the 1990S, Based on Improved Medicare Data

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  • Bertram Kestenbaum
  • B. Reneé Ferguson

Abstract

The most extensive mortality experience of very old persons in North America is the experience reflected in the master records of Medicare enrollment. Furthermore, the data are of high quality; for example, the age in the record generally is not a mere allegation, but rather is supported by documentation. Indeed, this experience is used for the older ages in the construction of the decennial U.S. life tables.Even the best data, however, are not free of error, and the Medicare data contain errors of duplicate information, incorrect ages, and unreported deaths. These errors understandably are most serious at the oldest ages, when the true experience is least extensive. We have undertaken several initiatives at the microdata level to improve the quality of the information, and we report those initiatives and the mortality probabilities that were obtained in this paper.‡

Suggested Citation

  • Bertram Kestenbaum & B. Reneé Ferguson, 2002. "Mortality of the Extreme Aged in the United States in the 1990S, Based on Improved Medicare Data," North American Actuarial Journal, Taylor & Francis Journals, vol. 6(3), pages 38-44.
    • Handle: RePEc:taf:uaajxx:v:6:y:2002:i:3:p:38-44
    DOI: 10.1080/10920277.2002.10596055
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    Cited by:

    1. Neil K. Mehta & Irma T. Elo & Michal Engelman & Diane S. Lauderdale & Bert M. Kestenbaum, 2016. "Life Expectancy Among U.S.-born and Foreign-born Older Adults in the United States: Estimates From Linked Social Security and Medicare Data," Demography, Springer;Population Association of America (PAA), vol. 53(4), pages 1109-1134, August.
    2. Irma Elo & Cassio Turra & Bert Kestenbaum & B. Ferguson, 2004. "Mortality among elderly hispanics in the United States: Past evidence and new results," Demography, Springer;Population Association of America (PAA), vol. 41(1), pages 109-128, February.
    3. Magali Barbieri, 2018. "Investigating the Difference in Mortality Estimates between the Social Security Administration Trustees' Report and the Human Mortality Database," Working Papers wp394, University of Michigan, Michigan Retirement Research Center.
    4. Matthew E Dupre & Danan Gu & James W Vaupel, 2012. "Survival Differences among Native-Born and Foreign-Born Older Adults in the United States," PLOS ONE, Public Library of Science, vol. 7(5), pages 1-8, May.

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