Medicaid Increases Emergency-Department Use: Evidence from Oregon's Health Insurance Experiment

American Association for the Advancement of Science (AAAS) - Tập 343 Số 6168 - Trang 263-268 - 2014
Sarah Taubman1, Heidi Allen2, Bill Wright3, Katherine Baicker4,5, Amy Finkelstein6,7
1National Bureau of Economic Research (NBER), Cambridge, MA 02138, USA
2Columbia University School of Social Work, New York, NY, 10027, USA
3Center for Outcomes Research and Education, Providence Portland Medical Center, Portland, OR 97213, USA.
4Department of Health Policy and Management, Harvard School of Public Health, Boston, MA 02115, USA
5Department of Health Policy and Management, Harvard School of Public Health, Boston, MA 02115, USA.; National Bureau of Economic Research (NBER), Cambridge, MA 02138, USA.
6Department of Economics, Massachusetts Institute of Technology, Cambridge, MA 02142 USA
7Department of Economics, Massachusetts Institute of Technology, Cambridge, MA 02142, USA.; National Bureau of Economic Research (NBER), Cambridge, MA 02138, USA.

Tóm tắt

Health Economy? The intensity of arguments over social science issues often seems inversely correlated with the quantity of experimental evidence. Taubman et al. (p. 263 , published online 2 January; see the Policy Forum by Fisman ) report on the latest analysis of an ongoing controlled experiment—the Oregon Health Insurance Experiment—that seeks to identify and quantify the effects of extending health insurance coverage to a low-income adult population. A substantial increase was observed in visits to the emergency departments of hospitals, corresponding to approximately 120 U.S. dollars per year more in hospital costs.

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