What The Oregon Health Study Can Tell Us About Expanding Medicaid

The recently enacted Patient Protection and Affordable Care Act includes a major expansion of Medicaid to low-income adults in 2014. This paper describes the Oregon Health Study, a randomized controlled trial that will be able to shed some light on the likely effects of such expansions. In 2008, Ore...

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Bibliographic Details
Published in:Health Affairs 2010-08, Vol.29 (8), p.1498-1506
Main Authors: Allen, Heidi, Baicker, Katherine, Finkelstein, Amy, Taubman, Sarah, Wright, Bill J.
Format: Article
Language:English
Subjects:
Government programs
Health care access
Health care policy
Health insurance
Health policy
Health surveys
Insurance coverage
Low income groups
Medicaid
Medicaid program
Oregon
Patient Protection & Affordable Care Act 2010-US
Public health
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Summary:The recently enacted Patient Protection and Affordable Care Act includes a major expansion of Medicaid to low-income adults in 2014. This paper describes the Oregon Health Study, a randomized controlled trial that will be able to shed some light on the likely effects of such expansions. In 2008, Oregon randomly drew names from a waiting list for its previously closed public insurance program. Our analysis of enrollment into this program found that people who signed up for the waiting list and enrolled in the Oregon Medicaid program were likely to have worse health than those who did not. However, actual enrollment was fairly low, partly because many applicants did not meet eligibility standards. [PUBLICATION ABSTRACT]
ISSN:0278-2715
1544-5208
DOI:10.1377/hlthaff.2010.0191