What The Oregon Health Study Can Tell Us About Expanding Medicaid
What The Oregon Health Study Can Tell Us About Expanding Medicaid
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DOI：
10.1377/hlthaff.2010.0191
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发表时间：
2010-08-01
期刊：
影响因子：
9.7
通讯作者：
Wright, Bill J.
中科院分区：
文献类型：
--
作者：
Allen, Heidi;Baicker, Katherine;Wright, Bill J.
最近颁布的《患者保护和平价医疗法案》包括在2014年将医疗补助扩大到低收入成年人。本文介绍了俄勒冈州健康研究，一个随机对照试验，将能够揭示一些关于这种扩张的可能影响。2008年，俄勒冈州从其先前关闭的公共保险计划的等待名单中随机抽取了名字。我们对该计划的注册情况进行了分析，发现那些在等候名单上注册并参加俄勒冈州医疗补助计划的人的健康状况可能比那些没有参加的人更差。然而，实际入学人数相当低，部分原因是许多申请人不符合资格标准。
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.