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

Author:

Taubman Sarah L.1,Allen Heidi L.2,Wright Bill J.3,Baicker Katherine14,Finkelstein Amy N.15

Affiliation:

1. National Bureau of Economic Research (NBER), Cambridge, MA 02138, USA.

2. Columbia University School of Social Work, New York, NY 10027, USA.

3. Center for Outcomes Research and Education, Providence Portland Medical Center, Portland, OR 97213, USA.

4. Department of Health Policy and Management, Harvard School of Public Health, Boston, MA 02115, USA.

5. Department of Economics, Massachusetts Institute of Technology, Cambridge, MA 02142, USA.

Abstract

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.

Publisher

American Association for the Advancement of Science (AAAS)

Subject

Multidisciplinary

Reference30 articles.

1. U.S. Department of Health and Human Services “New data say uninsured account for nearly one-fifth of emergency room visits” (2009); www.hhs.gov/news/press/2009pres/07/20090715b.html.

2. R. Snyder “Facts about Medicaid expansion: Improving care saving money” (2013); www.michigan.gov/documents/snyder/Medicaid_expansion_-_factsheet_final_2-6-13_410658_7.pdf.

3. S. Palm-Houser “Governor Kasich includes Medicaid expansion in proposed Ohio budget” (2013); www.examiner.com/article/governor-kasich-includes-medicaid-expansion-proposed-ohio-budget.

4. Dudiak Z.Pittsburgh area legislators react to governor's budget proposals ” (2013); http://foresthills-regentsquare.patch.com/groups/politics-and-elections/p/pittsburgh-area-legislators-react-to-governor-s-budge5c772c0e4b.

5. Massachusetts' Health Care Reform and Emergency Department Utilization

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