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 -
The Oregon Health Insurance Experiment: Evidence from the First Year
(or, What Happens When You Give Poor People Health Insurance?) "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." [more inside]
posted by OmieWise
on Jul 11, 2011 -
A simple question shows how complex the issue is.
Chris at "Cynical C" asks his fellow citizens where they get thier health care (insurance) from and the incredible diversity of the current options and situations is immediately apparent. Quite spontaneously (but surely not unexpectedly), the question of "How much does it cost you?" becomes an essential part of the answers. Outsiders opine and tell stories and commiserate. [more inside]
posted by sid abotu
on Aug 4, 2009 -
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 -
I promise to try not to smoke, or drink too much, or eat too much, or be lazy. If I fail, you can cut my benefits. Sign here please.
West Virginia recently approved a controversial change to its Medicaid program: a Member Agreement
[NB: links to .pdf] that adds several "personal responsibilities" including attempting to avoid smoking, (illegal) drugs, heavy drinking and sloth
). It also includes clauses on compliance with doctors recommendations, keeping appointments, reading the written materials that doctors provide, and minimizing emergency department visits. Patients who don't uphold their end of the bargain will have some benefits reduced or eliminated
(that'll learn them). Lube up the slippery slope
arguments. Will it work? Is it fair? Want to hear more? And more (from NPR)?
(Article .pdfs archived here and here. Interview .mp3 archived here if you can't access them through above links).
posted by scblackman
on Aug 25, 2006 -
Is the U.S. Bankrupt?
[332Kb PDF] Laurence Kotlikoff, writing in this month's Federal Reserve Bank of St. Louis Review
, says "yes" - to the tune of $66 trillion! [more inside]
posted by ikkyu2
on Jul 16, 2006 -