Effect of Medicaid Coverage on ED Use — Further Evidence from Oregon’s Experiment
The effect of Medicaid coverage on health and the use of health care services is of first-order policy importance, particularly as policymakers consider expansions of public health insurance. Estimating the effects of expanding Medicaid is challenging, however, because Medicaid enrollees and the uni...
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| Format: | Article |
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New England Journal of Medicine (NEJM/MMS)
2018
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| Online Access: | http://hdl.handle.net/1721.1/114043 https://orcid.org/0000-0002-9941-6684 |
| _version_ | 1811080962182742016 |
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| author | Allen, Heidi L. Wright, Bill J. Baicker, Katherine Taubman, Sarah L. Finkelstein, Amy |
| author2 | Massachusetts Institute of Technology. Department of Economics |
| author_facet | Massachusetts Institute of Technology. Department of Economics Allen, Heidi L. Wright, Bill J. Baicker, Katherine Taubman, Sarah L. Finkelstein, Amy |
| author_sort | Allen, Heidi L. |
| collection | MIT |
| description | The effect of Medicaid coverage on health and the use of health care services is of first-order policy importance, particularly as policymakers consider expansions of public health insurance. Estimating the effects of expanding Medicaid is challenging, however, because Medicaid enrollees and the uninsured differ in many ways that may also affect outcomes of interest. Oregon’s 2008 expansion of Medicaid through random-lottery selection of potential enrollees from a waiting list offers the opportunity to assess Medicaid’s effects with a randomized evaluation that is not contaminated by such confounding factors. In a previous examination of the Oregon Health Insurance Experiment, we found that Medicaid coverage increased health care use across a range of settings, improved financial security, and reduced rates of depression among enrollees, but it produced no detectable changes in several measures of physical health, employment rates, or earnings. |
| first_indexed | 2024-09-23T11:39:36Z |
| format | Article |
| id | mit-1721.1/114043 |
| institution | Massachusetts Institute of Technology |
| last_indexed | 2024-09-23T11:39:36Z |
| publishDate | 2018 |
| publisher | New England Journal of Medicine (NEJM/MMS) |
| record_format | dspace |
| spelling | mit-1721.1/1140432022-09-27T21:04:51Z Effect of Medicaid Coverage on ED Use — Further Evidence from Oregon’s Experiment Allen, Heidi L. Wright, Bill J. Baicker, Katherine Taubman, Sarah L. Finkelstein, Amy Massachusetts Institute of Technology. Department of Economics Finkelstein, Amy The effect of Medicaid coverage on health and the use of health care services is of first-order policy importance, particularly as policymakers consider expansions of public health insurance. Estimating the effects of expanding Medicaid is challenging, however, because Medicaid enrollees and the uninsured differ in many ways that may also affect outcomes of interest. Oregon’s 2008 expansion of Medicaid through random-lottery selection of potential enrollees from a waiting list offers the opportunity to assess Medicaid’s effects with a randomized evaluation that is not contaminated by such confounding factors. In a previous examination of the Oregon Health Insurance Experiment, we found that Medicaid coverage increased health care use across a range of settings, improved financial security, and reduced rates of depression among enrollees, but it produced no detectable changes in several measures of physical health, employment rates, or earnings. 2018-03-09T20:48:32Z 2018-03-09T20:48:32Z 2016-10 2018-02-21T18:42:11Z Article http://purl.org/eprint/type/JournalArticle 0028-4793 1533-4406 http://hdl.handle.net/1721.1/114043 Finkelstein, Amy N., Sarah L. Taubman, Heidi L. Allen, Bill J. Wright, and Katherine Baicker. “Effect of Medicaid Coverage on ED Use — Further Evidence from Oregon’s Experiment.” New England Journal of Medicine 375, no. 16 (October 20, 2016): 1505–1507. © 2016 Massachusetts Medical Society https://orcid.org/0000-0002-9941-6684 http://dx.doi.org/10.1056/NEJMP1609533 New England Journal of Medicine Article is made available in accordance with the publisher's policy and may be subject to US copyright law. Please refer to the publisher's site for terms of use. application/pdf New England Journal of Medicine (NEJM/MMS) The New England Journal of Medicine |
| spellingShingle | Allen, Heidi L. Wright, Bill J. Baicker, Katherine Taubman, Sarah L. Finkelstein, Amy Effect of Medicaid Coverage on ED Use — Further Evidence from Oregon’s Experiment |
| title | Effect of Medicaid Coverage on ED Use — Further Evidence from Oregon’s Experiment |
| title_full | Effect of Medicaid Coverage on ED Use — Further Evidence from Oregon’s Experiment |
| title_fullStr | Effect of Medicaid Coverage on ED Use — Further Evidence from Oregon’s Experiment |
| title_full_unstemmed | Effect of Medicaid Coverage on ED Use — Further Evidence from Oregon’s Experiment |
| title_short | Effect of Medicaid Coverage on ED Use — Further Evidence from Oregon’s Experiment |
| title_sort | effect of medicaid coverage on ed use further evidence from oregon s experiment |
| url | http://hdl.handle.net/1721.1/114043 https://orcid.org/0000-0002-9941-6684 |
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