Rand Health Insurance Experiment Summary

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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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The RAND Health Insurance Experiment, Three Decades Later

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  • cconsider potential policy interventions to reduce public spending on health care
  • onsider potential policy interventions to reduce public spending on health care
  • The RAND Health Insurance Experiment, Three Decades Later† Aviva Aron-Dine received her Ph.D
  • in Economics in June 2012 from the Massachusetts Insti-

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40 Years Of The RAND Health Insurance Experiement RAND

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40 Years of the RAND Health Insurance Experiement 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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A Summary Of The Rand Health Insurance Study RAND

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  • A Summary of the Rand Health Insurance Study
  • Published in: Annals of the New York Academy of Sciences, v
  • Posted on RAND.org on January 01, 1982
  • Related Topics: Health Economics, Health Insurance, Health, Health Care, and Aging, Insurance

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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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  • The RAND Health Insurance Experiment, three decades later J Econ Perspect
  • Authors Aviva Aron-Dine, Liran Einav 1 , Amy Finkelstein 2 Affiliations 1 Stanford University, Stanford, California, and

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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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RAND Health Care RAND

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RAND Health Care promotes healthier societies by improving health care systems in the United States and other countries. We provide health care decisionmakers, practitioners, and consumers with actionable, rigorous, objective evidence to support their most complex decisions.

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The RAND Health Insurance Experiment, Three Decades Later

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A Brief Summary of the RAND Health Insurance Experiment In the RAND experiment, families were assigned to plans with one of six consumer coinsurance rates (that is, the share of medical expenditures paid by the enrollee), and were covered by the assigned plan for three to five years.

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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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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
  • Plans had copayment rates of 0%, 25%, 50%, 95%

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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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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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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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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 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 …

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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

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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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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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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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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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Consumer Directed Health Plans And The RAND Health

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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), …

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The Oregon Experiment — Effects Of Medicaid On Clinical

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Health insurance is a financial product that is aimed at providing financial security by protecting people from catastrophic health care expenses if they become injured or sick (and ensuring that

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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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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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ECON 3150 Midterm Flashcards Quizlet

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3. One curious finding form the RAND Health Insurance Experiment was that the rate of treated bone fractures per capita was higher in the group of families that had been assigned to the free insurance plan, compared with those in the high copayment plans.


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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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RAND Health Insurance Experiment.pdf

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View RAND Health Insurance Experiment.pdf from ECON 131 at University of California, Los Angeles. The Health Insurance Experiment A Classic RAND Study Speaks to the Current Health Care Reform

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Intertemporal Substitution In Health Care Demand: Evidence

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The RAND Health Insurance Experiment, run from November, 1974 to February, 1982, was a randomized field experiment to measure whether more generous health insurance caused higher health care spending. 6 The experiment ran at six different sites, chosen to be broadly representative of the United States, and new families were enrolled over

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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 Rand Health Insurance Study: A Summary Critique

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  • The Rand Health Insurance Study (HIS) is the first formal social experiment compar-ing economies and health outcomes of dif-ferent health insurance plans
  • It was initiated by the Rand Corporation in 1974, is now in its summary stage, and is expected to con-clude in 1986
  • The first report of results compared the effects of cost sharing and free

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RandHIE: RAND Health Insurance Experiment In

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  • '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
  • [] Although the fieldwork of the study was conducted between 1974 and 1982, the

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RAND Health Insurance Experiment Health Policy Buzz Blog

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More recent RCT, the Oregon Health Insurance Experiment (Oregon HIE), conducted in 2008-2010 in Oregon reported that provision of Medicaid was associated with better mental health, but Medicaid was NOT associated with better HbA1c level (a marker for blood glucose level), blood pressure, total cholesterol level, or HDL level (Baicker et al

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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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CiteSeerX — Joe Newhouse For Answering Endless Questions

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rand health insurance experiment health care joe newhouse consumer copayments endless question health insurance plan medical spending financial disincentive dubious value several common feature u.s. family public source co-insurance cost medical expense medical cost co-insurance amount important risk important source american household central


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A Classic: The RAND Health Insurance Experiment – Policy

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Additionally, the total annual out-of-pocket expenses were capped at a percentage of income, either 5%, 10%, or 15% with any cost above this threshold reimbursed by the health insurance plan. The major findings of the RAND Health Insurance Experiment was that the utilization of health care inversely relates to amount of out-of-pocket expenses.

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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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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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Talk:RAND Health Insurance Experiment

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  • I added the Keeler summary article
  • I like the way you linked to the Normand review
  • But the RAND health insurance experiment is very controversial -- the Cato Instititute cites it (also in BMJ) to support their claim that co-payments have no effect on health care, and Physicians for a National Health Program cites it (in NEJM) to support their

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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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RAND Health Insurance Experiment Data — Statsmodels

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Number of observations-20, 190 Number of variables-10 Variable name definitions:: mdvis-Number of outpatient visits to an MD lncoins-ln (coinsurance + 1), 0 <= coninsurance <= 100 idp-1 if individual deductible plan, 0 otherwise lpi-ln (max (1, annual participation incentive payment)) fmde-0 if idp = 1; ln (max (1, MDE / (0.01 coinsurance

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Attrition In The RAND Health Insurance Experiment: A

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CiteSeerX - Document Details (Isaac Councill, Lee Giles, Pradeep Teregowda): 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. Specifically, he speculates that those in the cost sharing plans

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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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Use Of Medical Care In The Rand Health Insurance Experiment

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Rand Health Insurance Experiment (HIE) concerning the effect of cost-sharing on the use of outpatient medical care for specific diagnoses. The HIE was a large-scale ran-domized controlled trial of alternative forms of health care financing sponsored by the Department of Health and Human Services (formerly Department of Health, Education, 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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Key Issues In Analyzing Major Health Insurance Proposals

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Much of the health care provided in the United States confers tremendous benefits, extending and improving lives. But the high and rising costs for health care in this country impose an increasing burden on individuals, businesses, states, and the federal government, and a substantial number of people may have trouble paying for that care because they do not have health insurance.

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FAQ rand health insurance experiment summary

When did the rand health insurance experiment start?

The RAND Health Insurance Experiment (RAND HIE) 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.

What is rand health insurance?

From Wikipedia, the free encyclopedia 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.

Did the rand hie study people without health insurance?

The RAND HIE did not study people without health insurance and so could not determine how the presence or absence of health insurance affects health. Nevertheless, the study opened the way for increased cost sharing for medical care in the 1980s and 1990s.

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