Rand Health Insurance Experiment Outcome

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Health Insurance Experiment (HIE) RAND

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The RAND Health Insurance Experiment (HIE) showed that modest cost sharing reduces use of services with negligible effects on health for the average person. Recent blog discussions have challenged the statistical basis for this finding.

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40 Years Of The RAND Health Insurance Experiement RAND

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After forty years, the RAND Health Insurance Experiment continues to be the gold standard for understanding the effects of cost sharing on the use of services and health outcomes.

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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

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The RAND Health Insurance Experiment, Three Decades Later

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Abstract 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 a manner that would be standard in the current age.

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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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And Limitations Of The Rand Health Insurance Experiment 3 T

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Health Insurance Experiment1 3 T various he Rand Health Insurance Experiment is the most relevant and valuable research available concerning the effects of patient cost-sharing. The HIE was a random-ized, controlled trial specifically designed to study how cost-sharing arrangements affect the use and cost of health services as well as health

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The Oregon Health Insurance Experiment: Evidence From The

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For example, in the RAND Health Insurance Experiment, response rates varied by 24 percentage points across treatment arms with different insurance coverage, from 87 percent for those randomized into the most generous plan to 63 percent for those randomized into …

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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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Ch. 2 T/F Flashcards Quizlet

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In the RAND HIE, being assigned more generous insurance did not generally improve participants' health outcomes, except among certain subgroups True, the RAND HIE finds that generous insurance only provided small health improvements to healthy people.


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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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The Oregon Experiment — Effects Of Medicaid On Clinical

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We used the random assignment embedded in the Oregon Medicaid lottery to examine the effects of insurance coverage on health care use and health outcomes after approximately 2 years. Methods

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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).One of the major conclusions of the HIE are that higher co-insurance rates lead to lower levels of medical utilization and lower medical cost, but do not have any adverse impact on health

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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 1 Medical expenses are one of the …

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What Does The RAND Health Insurance Experiment Tell Us

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1 Department of Health Policy, Harvard University Medical School, 180 Longwood Ave, Ste 207, Boston, MA 02115, USA. [email protected] PMID: 18611092 No abstract available

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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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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


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The RAND Health Insurance Experiment, Three Decades Later

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Figure 1 abstracts, of course, from many important aspects of actual health insurance contracts and health care consumption choices that are faced in the real world and in the RAND Health Insurance Experiment. First, summarizing health care utilization by its overall dollar cost does not take into account the heterogeneity in health care needs.

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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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RAND Health Care Featured Projects RAND

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RAND COMPARE is a modeling tool that simulates the impact of implementation decisions on insurance coverage, premiums, and health care spending. RAND Dementia Blueprint Annual costs of dementia exceed those of cancer and heart disease and will only continue to rise as the nation's population ages.

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The Debate Over Health Care Reform: Houston, We Have A Problem

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The Rand Health Insurance Experiment, now 25 years old, foretells that patients with health insurance seek more access unless copayments rise . Copayments are a form of cost sharing, and they do reduce clinical usage, but there is a wrinkle.

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(PDF) What Does The RAND Health Insurance Experiment Tell

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What Does the RAND Health Insurance Experiment Tell Us about the Impact of Patient Cost Sharing on Health Outcomes? August 2008 The American Journal of Managed Care 14(7):412-4

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HMGT Chapter 12 Flashcards Quizlet

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The Rand Health Insurance Experiment reinforced the relationship between growth in third-party reimbursement and increase in health care costs a) 1974-1981 study revealed that cost-sharing reduced total overall costs compared to a free plan b) 25% patient co-insurance


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The Impact Of Health Insurance On Health Annual Review

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Group 3: Experimental Studies. Only the RAND Health Insurance Experiment is a true social experiment in which health insurance coverage was randomly assigned to individuals and subsequent health outcomes were compared across experimental groups [see Newhouse (), for more information on the RAND experiment].This type of random assignment is the gold standard for assessing causality, …

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Social Experiment

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The RAND Health Insurance Experiment was an experimental study of health care costs, utilization, and outcomes in the United States which assigned people randomly to different kinds of plans and followed their behavior, from 1974 to 1982. As a result, it provided stronger evidence than studies that examine people afterward who were not randomly assigned.

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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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The Impact Of Health Insurance On Preventive Care And

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  • The RAND Health Insurance Experiment found that, even in the zero-copay (free) plan, health care towards risky health behaviors (e.g
  • cigarettes or eating more) or towards health improvements
  • Evidence of income effects on health behaviors is mixed
  • outcomes (insurance coverage, access, self-assessed health), but this paper examines

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The Effect Of Coinsurance On The Health

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Does free medical care lead to better health than insurance plans that require the patient to shoulder part of the cost? In an effort to answer this question, the authors studied 3,958 people between the ages of 14 and 61 who were free of disability that precluded work and had been randomly assigned to a set of insurance plans for three or five years.

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The Impact Of Health Insurance Status On Treatment

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The only large scale randomized evaluation of the effects of health insurance, conducted by the RAND Corporation in the 1970s, compared the utilization of health care services, and health outcomes, for groups assigned to different insurance plans (Manning et al., 1987). 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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The Oregon Health Insurance Experiment Health Affairs

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The Oregon Health Insurance Experiment. The Oregon lottery provided a unique opportunity for research on the effects of Medicaid coverage on health care use, health outcomes, financial hardship

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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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RAND Health Insurance Experiment [in Metropolitan And Non

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RAND Health Insurance Experiment [in Metropolitan and Non-Metropolitan Areas of the United States], 1974-1982 (ICPSR 6439) had on the use of medical services and individual health outcomes. The main purpose of the experiment was to assess how the cost of health services affected individuals' use of services, their satisfaction with health

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New Research Shows Higher Health Insurance Costs Leads To

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In the 1970s and ’80s, the RAND Health Insurance Experiment concluded that small copays encouraged patients to use fewer health care services without leading to worse health outcomes. That

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Consumer Directed Health Care: Early Evidence About

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The best source of information about the effect of high deductibles on health care spending continues to be the RAND HIE. 22 Exhibit 3 summarizes the results of several studies that have used HIE

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Theory And Evidence On Cost Sharing In Health Care: An

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  • Faced with the growing pressures on health care budgets, policy makers around the world have turned to different forms of direct charging for health services
  • However, because it is rare to find a health system where the user is faced with the full cost of the service, these charges are often referred to as cost sharing
  • That is, the cost of the service is shared between the user and some

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What Was The RAND Health Insurance Experiment

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The RAND Health Insurance Experiment was a study based on health care costs, proper utilization of medical resources, and its results in the United States. Under this experiment, the different

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The RAND Health Insurance Experiment, Three Decades Later

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Moreover, randomized experiments are largely unavailable in health insurance, with the Rand and Oregon health insurance experiments as notable exceptions (Aron-Dine, Einav, & Finkelstein, 2013

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RAND Corporation

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  • RAND designed and conducted one of the largest and most important studies of health insurance between 1974 and 1982
  • The RAND Health Insurance Experiment, funded by the then–U.S
  • Department of Health, Education and Welfare, established an insurance corporation to compare demand for health services with their cost to the patient.


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Intertemporal Substitution In Health Care Demand: Evidence

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Intertemporal Substitution in Health Care Demand: Evidence from the RAND Health Insurance Experiment Haizhen Lin and Daniel W. Sacks January, 2019 Abstract Nonlinear cost-sharing in health insurance encourages intertemporal substitution be-cause patients can reduce their out-of-pocket costs by concentrating spending in years when they hit the

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The Causal Effect Of Health Insurance On Utilization And

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Background: No current consensus exists on the causal effect of gaining or losing health insurance on health care utilization and health outcomes. Objective: To systemically search and review available evidence of estimated causal effects of health insurance on health care utilization and/or health outcomes among nonelderly adults in the United States.

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The RAND Health Insurance Experiment, Three Decades Later

Insurance Nber.org Get All ››

  • 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 a manner that would be standard in the current age.

Mens Health
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Best RAND Health Insurance Experiment Flashcards Quizlet

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  • Start studying RAND Health Insurance Experiment
  • Learn vocabulary, terms, and more with flashcards, games, and other study tools
  • those who used more health care due to the lower price did not, on average, see a significant improvement on their health Health spending outcomes across different insurance plans?

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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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The Effect Of Premiums And Cost Sharing On Access And

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The RAND Health Insurance Experiment, conducted largely during the 1970s, was a seminal investigation into the effects of cost sharing on service use and outcomes (discussed below). 5 More recent studies have examined the


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RAND Report On Consumer Driven Health Plans

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"Consumer-Driven" Health Plans: Implications for Health Care Quality and Cost By RAND California HealthCare Foundation June 2005 Confronted with double-digit increases in health insurance costs and consumer dissatisfaction with managed care, employers are looking for new ways to contain health care costs. The solutions that are emerging increase consumers' financial responsibility and

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Oregon Health Insurance Experiment NBER

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  • Oregon Health Insurance Experiment
  • The Oregon Health Insurance Experiment is a landmark study of the effect of expanding public health insurance on health care use, health outcomes, financial strain, and well-being of low-income adults
  • It uses an innovative randomized controlled design to evaluate the impact of Medicaid in the United States.

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FAQ rand health insurance experiment outcome

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.

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.

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.

How did the rand study assess participant health?

To assess participant health, RAND administered surveys at the beginning and end of the experiment and also conducted comprehensive physical exams. Sixty percent of participants were randomly chosen to receive exams at the beginning of the study, and all received physicals at the end.

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