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The Oregon Health Insurance Experiment

The Oregon Health Insurance Experiment, an outgrowth of Oregon's 2008 lottery to allocate Medicaid slots to eligible residents, has released their second year of results (Previous discussions on the lottery and the experiment). The gist of the results are that they found statisitically significant reductions in catastrophic health care expenditures, improvements in the incidences of depression, and increased use of health care services. They found minimal (and not statistically significant) improvements in the rates of physical health indicators (diabetes and hypertension) they tracked. Because of ethical concerns, there are no other randomized controlled tests on this scale that study the effects of Medicaid and few on the effects of health insurance in general (the only significant one being a RAND study released 30 years ago). Because of the small amount of information available on the topic and the impending Medicaid expansion offered by Affordable Care Act, this study has drawn a lot of attention from political commentators. This will presumably be the last year these results will be published, as the state of Oregon was able to find extra money in 2010 in order cover the rest of its Medicaid-eligible population. [more inside]
posted by Weebot on May 3, 2013 - 20 comments

Of sound mind and but not so much sound body

Life imitates O'Henry's "The Cop and the Anthem" (tl;dr): James Verone robbed a bank to get health care while in jail. In a similar move, Nathan Bootz, Superintendent of Ithaca Public Schools, "proposed to make his school a prison" to increase the state's spending per-student to the same level as it spends per-prisoner in the jails.
posted by autopilot on Jun 20, 2011 - 37 comments

The Prognosis, Doc?

Two years since Massachusetts instituted major statewide healthcare reform, the statistics are coming in. 340,000 residents, roughly half the state's previously uninsured, are now insured. The state says that 95% of its population is now covered, based on Department of Revenue estimates. However, a large portion of them are enrolled through state-subsidized insurance programs, and those program's rate of enrollment have far outpaced estimates. This has led lawmakers to forsee a budget shortfall. Premiums and co-pays are going up, cigarette taxes have increased, and a cost control proposal is making its way through the legislature. Assessments have been all over the map.
posted by Weebot on Jul 2, 2008 - 79 comments

The Winning Numbers are 14, 46, 23, 49, and 22.

The state of Oregon is holding a health insurance lottery where 91,000 hopeful enrollees will be competing for a couple thousand spots under the Oregon Health Plan, the state's Medicaid program. OHP was created to cover those who made too much to enroll in traditional Medicaid but too little to afford market healthcare, and this development comes as a result of budget cuts and a subsequent enrollment closure in July of 2004. It's a far cry from the universal health care coverage that the plan was suppose to lead to, and marks a dramatic turn for the state's once-ambitious health care reforms.

(Previously in dystopic health care developments)
posted by Weebot on Mar 30, 2008 - 64 comments

Health Care and Innovation

Creative Destruction: The Best Case Against Universal Health Care. [Via The Mahablog.]
posted by homunculus on Nov 14, 2007 - 82 comments

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