The Oregon Health Insurance Experiment: Evidence from the First Year: "In 2008, a group of uninsured low-income adults in Oregon was selected by lottery to be given the chance to apply for Medicaid. This lottery provides a unique opportunity to gauge the effects of expanding access to public health insurance on the health care use, financial strain, and health of low-income adults using a randomized controlled design. In the year after random assignment, the treatment group selected by the lottery was about 25 percentage points more likely to have insurance than the control group that was not selected. We find that in this first year, the treatment group had substantively and statistically significantly higher health care utilization (including primary and preventive care as well as hospitalizations), lower out-of-pocket medical expenditures and medical debt (including fewer bills sent to collection), and better self-reported physical and mental health than the control group.
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Thursday, July 7, 2011
The Oregon Health Insurance Experiment: Evidence from the First Year
Posted by Christopher M. Hughes, MD at 8:33 PM
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Oregon has dropped two spots from its previous position and is now ranked as the 15th healthiest state to live in, according to the 2010 America's Health Rankings.
This ongoing study, funded in part by CHCF, finds that Medicaid coverage in Oregon increased individuals' health care access and use of services, lowered out-of-pocket costs, reduced medical debt, and improved self-reported health and well being.
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