The Oregon health experiment, as it came to be known, would finally give economists and policymakers rigorous evidence on how access to health insurance affected the provision and use of health care, and ultimately, influenced the health and well-being of the population. Abstract We develop and implement a set of frameworks for aluingv Medicaid and apply them to welfare analysis of the Oregon Health Insurance Experiment, a Medicaid expansion for low- income, uninsured adults that occurred via random assignment. Abstract. Amy Finkelstein spotted an opportunity to bring the gold standard in scientific research to one of the most pressing questions of the day. 17190 july 2011 jel no. This Paper. Using existing survey data from the Oregon Health Insurance Experiment as a pre-CCO baseline data point, we fielded a follow-up survey 12 months after CCO implementation. In addition, 18.0 percent of visits for Medicaid patients had a wait time of . Policy Points: We take advantage of Oregon's Medicaid lottery to gauge the causal effects of Medicaid coverage on mental health care, how effectively it addresses unmet needs, . the oregon health insurance experiment: evidence from the first year amy finkelstein, sarah taubman, bill wright, mira bernstein, jonathan gruber, joseph p. newhouse, heidi allen, katherine baicker, and the oregon health study group nber working paper no. Amy Finkelstein. The Guide of drawing up THE OREGON HEALTH INSURANCE EXPERIMENT - Quarterly Online. In late 2014, Oregon transitioned into a SBM-FP. About 90,000 low-income adults applied for 10,000 openings. We followed our panel through CCO implementation and compared changes in self-reported outcomes over time for Medicaid CCO members, fee-for-service (FFS) Medicaid . To be eligible, indi-vidualsmustbeaged19to64,Oregonresidents, U.S.citizensorlegalimmigrants . Data Sources. The Value of Medicaid: Interpreting Results from the Oregon Health Insurance Experiment Amy Finkelstein, Nathaniel Hendren, and Erzo F.P. . Amy Finkelstein, Sarah Taubman, Bill Wright, Mira Bernstein, Jonathan Gruber, Joseph Newhouse ( joseph_newhouse@harvard.edu ), Heidi Allen and Katherine Baicker. THE OREGON HEALTH INSURANCE EXPERIMENT: EVIDENCE FROM THE IN-PERSON INTERVIEWS. We develop frameworks for welfare analysis of Medicaid and apply them to the Oregon Health Insurance Experiment. Th e HIE was a large-scale, randomized experiment conducted between 1971 and 1982. Amanote Research. 3 The Oregon Health Insurance Experiment Setting: OHP Standard Oregon's Medicaid expansion program for poor adults Eligibility Poor (<100% FPL) adults 19-64 Not eligible for other programs Uninsured>6 months Legal residents, . its insurance market. The Oregon Health Insurance Experiment 1 Affordable Care Act (2010) • Primarily designed to ↑ insurance coverage • Kept current system • Fill in the "holes" in current coverage - Expand Medicaid eligibility - "Pay or play" - firms w/ 50+ employees fined if they do not provide health insurance The more recent Accelerated Benefits Demonstration project was It is the only randomized evaluation that has ever been conducted The Oregon Health Insurance Experiment is a randomized evaluation of the effect of expanding access to Medicaid. Finkelstein et al. . Abstract. In 2008, a group of uninsured low-income adults in Oregon was selected by lottery to be given the chance to apply for Medicaid. The Oregon Health Insurance Experiment: Evidence from the First Year. Unformatted text preview: NBER WORKING PAPER SERIES THE EFFECT OF MEDICAID ON CARE AND OUTCOMES FOR CHRONIC CONDITIONS: EVIDENCE FROM THE OREGON HEALTH INSURANCE EXPERIMENT Heidi Allen Katherine Baicker Working Paper 29373 NATIONAL BUREAU OF ECONOMIC RESEARCH 1050 Massachusetts Avenue Cambridge, MA 02138 October 2021 We gratefully acknowledge funding for the Oregon Health Insurance Experiment . We develop frameworks for welfare analysis of Medicaid and apply them to the Oregon Health Insurance Experiment. from the Oregon Health Insurance Experiment1 By Katherine Baicker, Amy Finkelstein, Jae Song, and Sarah Taubman* Most analyses of the impact of expanding Medicaid focus on the direct costs of the pro-gram from increased health expenditures and the direct benefits from improved health and reduced exposure to medical expenditure risk. Joseph Newhouse. its insurance market. oregon health experiment study was in health? The Oregon Health Insurance Experiment: Evidence from the First Year. No 17190, NBER Working Papers from National Bureau of Economic Research, Inc Abstract: In 2008, a group of uninsured low-income adults in Oregon was selected . THE IMPACT OF MEDICAID EXPANSION ON VOTER PARTICIPATION: EVIDENCE FROM THE OREGON HEALTH INSURANCE EXPERIMENT* November 2018 Katherine Baicker, University of Chicago, NBER, and J-PAL North America Amy Finkelstein, MIT, NBER and J-PAL North America Abstract: In 2008, a group of uninsured low-income adults in Oregon was selected by lottery for the chance to apply for Medicaid. h51,h75,i1 abstract in 2008, a group of uninsured low-income adults … The current paper expands the scope of the analysis of the Oregon Health Insurance Experiment to consider potential indirect effects on individuals not directly subject to the experiment, namely the children of participating adults. The Oregon Health Insurance Experiment: Evidence from the First Year Finkelstein et al. In document The Oregon Health Insurance Experiment: Evidence from the First Year (Page 36-39) Alatas, Vivi, Abhijit Banerjee, Rema Hanna, Benjamin A. Olken, and Julia Tobias, ―Targeting the Poor: Evidence from a Field Experiment in Indonesia,‖ NBER Working Paper 15980, 2010. The lottery was chosen by policy makers and stakeholders as the preferred way to allocate limited resources. earnings or several measures of physical health, and had a short-lived impact on increased voter turnout. Luttmer June 2018 Abstract We develop a set of frameworks for welfare analysis of Medicaid and apply them to the Oregon Health Insurance Experiment, a Medicaid expansion for low-income, uninsured adults that occurred via random assignment. For the study, RAND recruited 2,750 families encompassing more than 7,700 indi- viduals, all of whom were under the age of 65. Available in full text. insurance coverage The Oregon Health Insurance Experiment Fill in the "holes" in current coverage 2/13/2016 1 The Oregon Health Insurance Experiment 1 Affordable Care Act (2010) • Primarily designed to ↑ insurance coverage • Kept current system • Fill in the "holes" in current coverage 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 includes working families, children, pregnant women, single adults and seniors. 2013. The Oregon Health Insurance Experiment: Evidence from the First Year Conventional health economics wisdom suggests that insurance coverage would increase access to primary care services and reduce the likelihood of needing ED care. . The Oregon Health Insurance Experiment by Amy Finkelstein, Keesler Welch, Sarah Taubman, Katherine Baicker. To control Medicaid costs, improve quality, and drive community engagement, the Oregon Health Authority introduced a new system of coordinated care organizations (CCOs). This ongoing study represents a collaborative effort between researchers and the state of Oregon to use this opportunity to . Performed elsewhere in oregon health experiment, individuals Amy Finkelstein, an MIT economist, is principal investigator of the groundbreaking Oregon Health Insurance Experiment. Date. Abstract. If you are curious about Fill and create a THE OREGON HEALTH INSURANCE EXPERIMENT - Quarterly, here are the simple steps you need to follow: Hit the "Get Form" Button on this page. S. Taubman. While CCOs resemble traditional Medicaid managed care, they have differences that have been deliberately designed to improve care coordination, increase accountability, and incorporate greater community governance . The Oregon Health Insurance Experiment The lottery studied was for Oregon Health Plan (OHP) Standard, a Medicaid expansion program thatprovidesbenefitstolow-incomeadultswho are not categorically eligible for Oregon'stradi-tional Medicaid program. At the same time, it also gave rise to the Oregon Health Insurance Experiment: an unprecedented opportunity to do a randomized evaluation - the gold standard in medical and scientific research - of the impact of expanding Medicaid. The Quarterly Journal of Economics, 2012. Full PDF Package Download Full PDF Package. Primary and secondary data on health care use and outcomes for participants in Oregon's 2008 Medicaid lottery. Across different approaches, we estimate low-income uninsured adults' willingness to pay for Medicaid between $0.5 and $1.2 per dollar of the resource cost of providing Medicaid; estimates of the expected transfer Medicaid provides to recipients are relatively stable across . At the same time, it also gave rise to the Oregon Health Insurance Experiment: an unprecedented opportunity to do a randomized evaluation — the gold standard in medical and scientific research — of the impact of expanding Medicaid. In 2008, a group of uninsured low-income adults in Oregon was selected by lottery to be given the chance to apply for Medicaid. Because it was a randomized controlled trial, it provided stronger evidence than the more common observational studies and concluded that cost . Amy Finkelstein. A short summary of this paper. The Oregon Health Insurance Experiment is a landmark study of the effect of expanding public health insurance on health care use, health outcomes, financial strain, and well-being of low-income adults. The Oregon Health Insurance Experiment The Oregon lottery provided a unique opportunity for research on the effects of Medicaid coverage on health care use, health outcomes, financial hardship, and. Studies done in conjunction with the Oregon Health Insurance Experiment to examine subsequent outcomes use an instrument variable design where The 2008 Medicaid expansion in Oregon based on lottery drawings from a waiting list provided an opportunity to evaluate these effects.Approximately . 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 2011, Senate Bill 99 established the Oregon Health Insurance Exchange Corporation (Cover Oregon) as a public corporation to be governed by a board of directors. Upon implementation, Cover Oregon was fully dependent on federal grant funding for its operational expenditures Download Download PDF. 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. academyHealth is the professional home for health services researchers, policy analysts, and practitioners, and a leading, non-partisan Comprehensive coverage (no dental or vision) Minimum cost-sharing Similar to other states in payments, management (though 2012. The analysis presented here uses the Oregon Health Insurance Experiment (OHIE) and the data we collected through in-person interviews, physical exams, and administrative data to estimate the effects of expanding Medicaid availability to a population of low-income adults. Download Free PDF. In late 2014, Oregon transitioned into a SBM-FP. The state of Oregon conducted the lottery in 2008 as a fair way to expand eligibility for its Medicaid health insurance program to a limited number of uninsured individuals. In 2008, a group of uninsured low-income adults in Oregon was selected by lottery to be given the chance to apply for Medicaid. Abstract. Center for Health Systems Effectiveness, Oregon Health & Science University; 2018. Extensive public insurance at the data from a randomized controlled study was prespecified. July 17, 2013. Katherine Baicker. The Oregon Health Insurance Experiment is a series of ongoing studies in which a team of researchers is using assignment to the program by a lottery to study the impact of this Medicaid expansion. Upon implementation, Cover Oregon was fully dependent on federal grant funding for its operational expenditures Amy Finkelstein, Sarah Taubman, Bill Wright, Mira Bernstein, Jonathan Gruber (), Joseph Newhouse (), Heidi Allen, Katherine Baicker and The Oregon Health Study Group. We gratefully acknowledge funding for the Oregon Health Insurance Experiment from the Assistant Secretary for Planning and Evaluation in the Department of Health and Human Services, the California HealthCare Foundation, the John D. and Catherine T. MacArthur Foundation, the National Institute on Aging (P30AG012810, Allen, H., Wright, B., & Broffman, L. (2018). the Oregon Health Insurance Experiment (OHIE) to re-analyzethe e ect of Medicaid health insurance coverage on health care and preventive care utilization, self-reported health status, and nancial strain. QJE, 2012 Oregon Health Insurance Experiment October 13, 2016 1 / 12 Health Coverage for Low-Income Oregonians. "The Oregon Health Insurance Experiment: Evidence from the First Year." Quarterly Journal of Economics 127(3): 1057-1106. National Bureau of Economic Research; Cambridge, MA: Jul, 2011. Jonathan Gruber. QJE, 2012 Presented by: Aruhn, Brittany, Connie, and Tanner October 13, 2016 Finkelstein et al. The Oregon Health Plan (OHP) provides health care coverage for Oregonians from all walks of life. Written by Anna Levy of the Center for Health Systems Effectiveness Cite as: Levy A. Oregon's Effort to Reduce Health Disparities Show Signs of Early Success. The state of Oregon conducted the lottery in 2008 as a fair way to expand eligibility for its Medicaid health insur-ance program to a limited number of uninsured individuals. Accepted Manuscript THE OREGON HEALTH INSURANCE EXPERIMENT: EVIDENCE FROM THE FIRST YEAR Amy Finkelstein a,b Sarah Taubman a Bill Wright c Mira Bernstein a Jonathan Gruber a,b Joseph P. Newhouse a,d Heidi Allen c Katherine Baicker a,d And the Oregon Health Study Group e Abstract: In 2008, a group of uninsured low-income adults in Oregon was selected by lottery to be given Jonathan Gruber. 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 lowincome adults using a randomized controlled design. Register Sign In . Unformatted text preview: NBER WORKING PAPER SERIES THE EFFECT OF MEDICAID ON CARE AND OUTCOMES FOR CHRONIC CONDITIONS: EVIDENCE FROM THE OREGON HEALTH INSURANCE EXPERIMENT Heidi Allen Katherine Baicker Working Paper 29373 NATIONAL BUREAU OF ECONOMIC RESEARCH 1050 Massachusetts Avenue Cambridge, MA 02138 October 2021 We gratefully acknowledge funding for the Oregon Health Insurance Experiment . Medical Care Research and Review, 75(3), 354-383. NBER working paper no. It uses an innovative randomized controlled design to evaluate the impact of Medicaid in the United States. 37 Full PDFs related to this paper. The Oregon health insurance experiment: evidence from the first year. When Oregon voted in 2008 to use a lottery . Winning the health experiment address matches an opportunity in ed use and of nearly universal coverage, and the page. 7 In the Oregon Health Insurance Experiment which of the following outcomes was from HCMG 202 at University of Pennsylvania Abstract. Week 5 To evaluate the effect of Medicaid coverage on dental care outcomes, a major health concern for low-income populations. The Oregon health insurance experiment (sometimes abbreviated OHIE) was a research study looking at the effects of the 2008 Medicaid expansion in the U.S. state of Oregon, which occurred based on lottery drawings from a waiting list and thus offered an opportunity to conduct a randomized experiment by comparing a control group of lottery losers to a treatment group of winners, who were . The Oregon Health Insurance Experiment: Analyzing Government-Provided Health Insurance Take-up Across Demographic Variables @inproceedings{Hoffart2018TheOH, title={The Oregon Health Insurance Experiment: Analyzing Government-Provided Health Insurance Take-up Across Demographic Variables}, author={J. Hoffart}, year={2018} } J. Hoffart In 2008, Oregon policymakers offered low-income and uninsured residents access to health insurance called the Oregon Health Plan Standard through a lottery rationing device. Despite the imminent expansion of Medicaid coverage for low-income adults, the effects of expanding coverage are unclear. THE OREGON HEALTH INSURANCE EXPERIMENT: EVIDENCE FROM THE FIRST YEAR Amy Finkelstein a,b Sarah Taubman a Bill Wright c Mira Bernstein a Jonathan Gruber a,b Joseph P. Newhouse a,d Heidi Allen c Katherine Baicker a,d And the Oregon Health Study Group e Abstract: In 2008, a group of uninsured low-income adults in Oregon was selected by lottery to be given . The Quarterly Journal of Economics, 2012, vol. Evidence From the Oregon Health Insurance Experiment . The Oregon health experiment, as it came to be known, would finally give economists and policymakers rigorous evidence on how access to health insurance affected the provision and use of health. In 2008, a group of uninsured low-income adults in Oregon was selected by lottery to be given a chance to apply for Medicaid, which is the . Show simple item record. Luttmer June 2015 Abstract We develop a set of frameworks foraluingv Medicaid and apply them to welfare analysis of the Oregon Health Insurance Experiment, a Medicaid expansion for low-income, uninsured adults 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. Science, 343(6168), 263-268. Oregon Health Insurance Experiment Amy Finkelstein, Nathaniel Hendren, and Erzo F.P. Studies done in conjunction with the Oregon Health Insurance Experiment to examine subsequent outcomes use an instrument variable design where assignment to the treatment group (selection in the lottery) serves as a proxy for actual treatment (enrollment in health insurance). The Oregon Health Insurance Experiment: Evidence from the First Year. The lottery was chosen by policy makers and stakeholders as the preferred way to allocate limited resources. Objective. Medicaid increases emergency-department use: evidence from Oregon's Health Insurance Experiment. Insurance Experiment from the 1970s was designed to investigate the marginal impact of varying insurance cost- sharing features among approximately 6,000 insured individuals, not the effect of insurance coverage itself (Newhouse et al., 1993, Manning et al., 1987). Across different approaches, we estimate low-income uninsured adults' willingness to pay for Medicaid between $0.5 and $1.2 per dollar of the resource cost of providing Medicaid; estimates of the expected transfer Medicaid provides to recipients are relatively stable across . The Oregon health experiment, as it came to be known, would finally give economists and policymakers rigorous evidence on how access to health insurance affected the provision and use of health care, and ultimately, influenced the health and well-being of the population. Heidi Allen. This lottery provides an 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 2008, the state of Oregon drew names by lottery for its Medicaid program for low-income, uninsured adults. In 2011, Senate Bill 99 established the Oregon Health Insurance Exchange Corporation (Cover Oregon) as a public corporation to be governed by a board of directors. Table of Contents Introduction 1 Background 3 The Oregon Health Plan 3 The Oregon Health Insurance Experiment 6 Literature Review 9 Barriers to Policy Take-up 9 Evidence from the Oregon Health Insurance Experiment 11 Evidence from Medicaid and Related Programs 11 Methods to Overcome Low Policy Take-Up 13 Data and Methods 16 Data Collection and Survey Methods 16 Joseph Newhouse. Photo: Len Rubenstein. Baicker, Katherine, Heidi L. Allen, Bill J. Wright, and Amy N. Finkelstein "The Effect Of Medicaid On Medication Use Among Poor Adults: Evidence From Oregon." HEALTH AFFAIRS 36, NO. Jonathan Gruber. Th ey were chosen from six sites across the This product is part of the RAND Corporation research brief series. 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