Rand Health Insurance Experiment Hie

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Health Insurance Experiment (HIE) RAND

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The RAND Health Insurance Experiment (HIE), the most important health insurance study ever conducted, addressed two key questions in health care financing: How much more medical care will people use if it is provided free of charge? What are the consequences for their health?

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Health Insurance Experiment (HIE) RAND

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Abstract In a prior article in this Journal John Nyman argues that the effect on health care use and spending found in the RAND Health Insurance Experiment is an artifact of greater voluntary attrition in the cost sharing plans relative to the free care plan.

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40 Years Of The RAND Health Insurance Experiement RAND

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2016 marks the 40th anniversary of the RAND Health Insurance Experiment (HIE), the largest health policy study in U.S. history and the only experimental study of how cost-sharing arrangements affect people's use of health services, the quality of care they receive, and their health status.

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Health Insurance Experiment (HIE) RAND

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The RAND Corporation is a research organization that develops solutions to public policy challenges to help make communities throughout the world safer and more secure, healthier and more prosperous. RAND is nonprofit, nonpartisan, and committed to the public interest.

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And Limitations Of The Rand Health Insurance Experiment 3 T

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The Health Insurance Experiment (HIE), conducted by the Rand Corporation between November 1974 and January 1982,4 employed a true experimental design to determine the effect of patient cost-sharing on the utilization and cost of medical services, and on patients’ health status.5 The HIE is widely

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What Does The RAND Health Insurance Experiment Tell Us

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The gold standard of evidence supporting this conclusion is the RAND Health Insurance Experiment (HIE), which was a randomized trial of higher cost sharing conducted in the 1970s.

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The RAND Health Insurance Experiment, Three Decades Later

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1 Indeed, since the RAND Health Insurance Experiment, there have been, to our knowledge, only two other randomized health insurance experiments in the United States, both using randomized varia- tions in eligibility to examine the effect of providing public health insurance to uninsured populations:

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Chapter 2: Demand For Health Care Flashcards Quizlet

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Rand Health Insurance Experiment (HIE) -little dispute since that the demand curve for health care is not vertical but downward sloping -2,000 families assigned to a health insurance plan for several years. Coverage and copayment rates varied.

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The RAND Health Insurance Experiment, Three Decades Later

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We re-present and re-examine the analysis from the famous RAND Health Insurance Experiment from the 1970s on the impact of consumer cost sharing in health insurance on medical spending. We begin by summarizing the experiment and its core findings in …

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RandHIE : RAND Health Insurance Experiment

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Description 'The RAND Health Insurance Experiment (RAND HIE) was a comprehensive study of health care cost, utilization and outcome in the United States. It is the only randomized study of health insurance, and the only study which can give definitive evidence as to the causal effects of different health insurance plans.

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The Truth About The RAND HIE – Healthcare Economist

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Recently, there has been much controversy regarding whether or not the RAND Health Insurance Experiment (HIE) results are truly robust. Many blogs have been questioning the results (see here, here and here).

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The Rand Health Insurance Experiment And HMOs

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The Rand Health Insurance Experiment (HIE) provides the most persuasive evidence to date on the relative effects of health maintenance organization (HMO) and fee-for-service care on utilization, costs, client satisfaction, and health care outcomes. Publications from the HIE have suggested that HMO c …

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Price And Income Elasticity Of The Demand For Health

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  • insurance or constrain the growth in health care expenditures
  • The price and income elasticities measured in the RAND Health Insurance Experiment (HIE) of the 1970s remain a widely used source of elasticity estimates with respect to the demand for covered health care services
  • However, these estimates may fail to support today’s

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R Code For Mastering ’Metrics

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2 RAND Health Insurance Experiment (HIE) This provides code replicates the Tables 1.3 and 1.4 of Angrist and Pischke (2014) which replicate the analyses from the RAND Health Insurance Experiment (Brook et al. 1983,@Aron-DineEinavEtAl2013).


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What Does The RAND Health Insurance Experiment Tell Us

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It is widely accepted, based on considerable evidence accumulated over decades of study, that higher cost sharing will lead to reduced healthcare expenditures. The gold standard of evidence supporting this conclusion is the RAND Health Insurance Experiment (HIE), which was a randomized trial of higher cost sharing conducted in the 1970s.

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Jonathan Gruber On The RAND HIE Physicians For A

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The classic piece of evidence for this proposition is the famous RAND Health Insurance Experiment (HIE) in the 1970s. In this experiment, individuals were randomly assigned to insurance plans that were more or less generous, ranging from first dollar coverage to policies where indivduials paid 95% of the cost of their medical utilization.

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The Role Of Consumer Copayments For Health Care: Lessons

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The Role of Consumer Copayments for Health Care: Lessons from the RAND Health Insurance Experiment and Beyond 3 trials, randomization assures that …

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J. Gruber On Lessons From The RAND HIE Physicians For A

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  • The Role of Consumer Copayments for Health Care: Lessons from the RAND Health Insurance Experiment and Beyond
  • By Jonathan Gruber, Ph.DKaiser Family Foundation October 2006
  • The RAND HIE was one of the most important and influential social experiments in our nation’s history
  • By tackling a contentious yet central policy issue, the HIE provided a valuable set of …

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The RAND Health Insurance Experiment, Three Decades Later

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The RAND Health Insurance Experiment (HIE) has already provided some helpful insights into this issue; its findings indicate that the price elasticity for inpatient treatment is 0.17.

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Key Findings Of The RAND Health Insurance Experiment (HIE

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Key findings of the RAND Health Insurance Experiment (HIE) include (choose all that apply): Reduced use of services due to cost sharing occurred primarily once patients entered the health care system, not because cost sharing discouraged them from entering. Cost sharing reduced the use of effective and less effective healthcare services.

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The Role Of Consumer Copayments For Health Care: Lessons

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  • One of the most ambitious health policy studies in U.S
  • history, the RAND experiment randomly assigned thousands of families to insurance with varying levels of patient co-insurance

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Health Econ HW4 Flashcards

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Briefly describe the Rand Health Insurance Experiment (HIE). people were randomly assigned into different health plans that varied according to the amount of cost-sharing required of patients (some plans also offered dental or mental health coverage and …

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Overcoming Bias : RAND Health Insurance Experiment

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If you remember only one medical study, it should be the RAND health insurance experiment, where from 1974 to 1982 the US government spent $50 million to randomly assign 7700 people in six US cities to three to five years each of either …

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The RAND Health Insurance Experiment: A Retrospective At

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In June 2016, RAND hosted a two-day celebration to mark the 40th anniversary of the RAND Health Insurance Experiment (HIE), the largest, most comprehensive,

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Consumer Directed Health Plans And The RAND Health

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It is not hard to draw a substantive link between the results of the RAND Health Insurance Experiment (HIE) and today’s consumer-directed health plans. …

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Exam 1 Week 3 Flashcards Quizlet

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Key findings of the RAND Health Insurance Experiment (HIE) include: Cost sharing reduced the use of effective and less effective healthcare services. The poorest and sickest of the participants at the start of the experiment had better outcomes under the free plan for several conditions measured.


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Internal And External Validity And The RAND HIE

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  • In a KPBS debate between James Knight and Don McCanne on consumer-directed health care and health savings accounts, Dr
  • Knight stated, “… the Rand Health Insurance Experiment… shows that people who pay for their own health care services themselves… will spend about 45 percent less on health care with no significant change in their health care status…”


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Before The Oregon Health Study, There Was RAND

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  • Before the Oregon Health Study, there was RAND
  • Nearly 40 years ago, a whiz kid economist at a California think tank designed a unique study of how health insurance works

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RAND Health Insurance Experiment Data — Statsmodels

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  • The data was collected by the RAND corporation as part of the Health Insurance Experiment (HIE)
  • `Microeconometrics: Methods and Applications,` Cambridge: New York
  • See randhie/src for the original data and description
  • The data included here contains only a subset of the original data.

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Ch. 2 T/F Flashcards Quizlet

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False, RAND HIE finds demand for health care is very inelastic w/ arc elasticities around 0.2 In the RAND HIE, being assigned more generous insurance did not generally improve participants' health outcomes, except among certain subgroups


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Consumer Directed Health Plans And The RAND Health Insurance

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Today's consumer-directed health plans, with their high deductibles, bear a strong resemblance to the high-deductible plan of the RAND Health Insurance Experiment (HIE), although they come into a

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RAND Health Insurance Experiment Data — Statsmodels 0.6.1

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  • `Microeconometrics: Methods and Applications,` Cambridge: New York.

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Health Insurance And The Demand For Medical Care: Evidence

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  • Rand Health Insurance Experiment (HIE) in 1974, one aim of which was to narrow uncer- tainty about this issue (Newhouse, 1974)
  • In this article we report the results of that ex- periment
  • Our findings have implications for the role of insurance in explaining the post- war increase in medical expenditure, as well

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High Deductible Health Plans: Does Cost Sharing Stimulate

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  • Objective: To determine whether increased cost sharing in health insurance plans induces higher levels of consumer sophistication in a non-elderly population
  • Study design: This analysis is based on the collection of survey and demographic data collected from enrollees in the RAND health insurance experiment (HIE)
  • During the RAND HIE, enrollees were randomly assigned to different levels of

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Senator Bernie Sanders, Free Health Care Is A

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The RAND Health Insurance Experiment shows that 31% of the spending by those with free health care is wasted. In short, "free" health care for …

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Health Economics Flashcards Quizlet

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  • The RAND Health insurance Experiment
  • study found that the more people had to pay for their health care, the less health care they purchased (and the lower their health status?) Welfare loss
  • Additional quantity of service or good consumed due to price reduction, because it is covered by insurance

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Cracks In The Moral Hazard Foundation Physicians For A

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  • American Health Policy: Cracks in the Foundation
  • Nyman Journal of Health Policy, Politics and Law October 2007
  • Much American health policy over the past thirty-five years has focused on reducing the additional health care that is consumed when a person becomes insured, that is, reducing moral hazard.

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RAND Health Insurance Experiment [in Metropolitan And Non

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Summary View help for Summary. The Health Insurance Experiment (HIE) was conducted from 1974 to 1982 in six sites across the country: Dayton, Ohio, Seattle, Washington, Fitchburg-Leominster and Franklin County, Massachusetts, and Charleston and …

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Consumer Directed Health Plans And The RAND Health Insurance

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Today's consumer-directed health plans, with their high deductibles, bear a strong resemblance to the high-deductible plan of the RAND Health Insurance Experiment (HIE), although they come into a

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RAND Alumni Association

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In June 2016, RAND hosted a two-day celebration to mark the 40th anniversary of the RAND Health Insurance Experiment (HIE). Watch the highlights from the event:


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Health Care Demand Elasticities By Type Of Service

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  • The classic study by Manning et al
  • (1987) estimated health care demand responses using data from the RAND Health Insurance Experiment (HIE) RCT conducted in the mid-1970s
  • The HIE randomly assigned around 6000 individuals to fourteen health plans with cost shares that

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Effect Of High Deductible Insurance On Health Care Use In

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In 2018, 58% of covered workers had deductibles of $1000 or more and 26% had deductibles of $2000 or more. 9 Based on findings going back to the RAND Health Insurance Experiment (HIE) 10 of the

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Oregon Medicaid Health Experiment

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The Oregon health insurance experiment (sometimes abbreviated OHIE) was a research study looking at the effects of the 2008 Medicaid expansion in the U.S. state of Oregon, which occurred based on lottery drawings from a waiting list and thus offered an opportunity to conduct a randomized experiment by comparing a control group of lottery losers to a treatment group of winners, who were

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Benefit Design In Health Care Reform: Patient Cost Sharing

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Rand Health Insurance Experiment Plans in the Predicted Probability of an Episode of Care 28 3-3 Medical Effectiveness Groupings Used in the Rand Health Insurance Experiment 30 APPENDIXES A Overview of Technology, Insurance, and the Health Care System37 B Method of the Study40 C Acknowledgements41 D Selected Additional Research on the Effects of

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Would Universal Health Care Coverage Actually Improve

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To my knowledge, the only large-scale randomized experiment in the U.S. that has tested the actual effects on health of providing various kinds of health-care financing was the RAND Health

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How Much More Cost Sharing Will Health Savings Accounts

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2 Recently, Joseph Newhouse stressed the similarities of consumer-driven health care, which includes HSAs, to the 1970s’ RAND Health Insurance Experiment’s (HIE’s) high-deductible option.

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Please leave your comments here:

FAQ rand health insurance experiment hie

What is rand health insurance experiment?

(August 2019) The RAND Health Insurance Experiment (RAND HIE) was an experimental study from 1974 to 1982 of health care costs, utilization and outcomes in the United States, which assigned people randomly to different kinds of plans and followed their behavior.

Are there any effects of rand hie on health?

Newhouse, summarizing the RAND HIE in 2004, wrote, "For most people enrolled in the RAND experiment, who were typical of Americans covered by employment-based insurance, the variation in use across the plans appeared to have minimal to no effects on health status.

What is theand health insurance experiment?

This research brief summarizes the main findings of the RAND Health Insurance Experiment and clarifies its relevance for today's health care debate. The RAND Health Insurance Experiment (HIE) showed that modest cost sharing reduces use of services with negligible effects on health for the average person.

Is the rand hie still considered the gold standard?

The RAND HIE is still referenced in the academic literature as a "gold standard" study in research on the effects of health insurance.

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