Rand Health Insurance Experiment

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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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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 RAND

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  • RAND's health insurance research began in 1971 with the 15-year Health Insurance Experiment, the only community-based experimental study of how cost-sharing arrangements affect people’s use of health services, their quality of care, and their health status
  • Subsequent research has continued to inform the U.S

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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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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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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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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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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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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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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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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 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 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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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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Obtaining HIE Data Files RAND

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RAND's Health Insurance Experiment (HIE) Instructions for Obtaining HIE Data Files An abstract of the HIE study design and its data files are available from the data archive maintained by the Inter-University Consortium for Political and Social Research (ICPSR) at the University of Michigan.


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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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Hanson On Health

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  • Could argue that the RAND experiment still didn't do the experiment right--maybe have to do it with more people or more recently
  • Or, could say maybe it's true: Medical expenditure may not have the bang for the buck that we might think it would
  • Distinguish between health, health care, and health insurance.

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RAND And The Moral Hazard: Healthcare Triage #10

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  • As we've explained in previous episodes, insurance is complicated
  • Even John gets confused (watch the video!)
  • But there's a reason we have all these deducti

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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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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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A Classic: The RAND Health Insurance Experiment – Policy

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  • The RAND Health Insurance Experiment represent the best evidence available to determine the behavior of patients based on cost sharing in health plans
  • Following the publishing of data from this study, many private insurance companies adopted these cost-sharing strategies
  • The researchers estimated price elasticities for medical care in the

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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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Price And Income Elasticity Of The Demand For Health

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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 analyses of health

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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 some people were enrolled in a managed care plan)

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RandHIE Function

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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.


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The Rand Health Insurance Experiment

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The RAND Health Insurance Experiment is a forty year old study that examined the amount people spent on health services (Morrisey, 2014). The experiment also studied the results of various of health insurance coverage (Welch, Hay, Miller, Olsen, Rippey & Welch, 1987).

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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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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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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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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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Cost Sharing Enhances Cost Control

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The most famous research on healthcare demand sets the gold standard.6 This study, the RAND Health Insurance Experiment, which spanned the late 1970s through the early 1980s, randomly assigned consumers to different health plans, neatly (if expensively) side-stepping the statistical problem caused by the possibility of adverse selection (where


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RAND Health Insurance Experiment.pdf

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RAND RESEARCH AREAS THE ARTS CHILD POLICY CIVIL JUSTICE EDUCATION ENERGY AND ENVIRONMENT HEALTH AND HEALTH CARE INTERNATIONAL AFFAIRS NATIONAL SECURITY POPULATION AND AGING PUBLIC SAFETY SCIENCE AND TECHNOLOGY SUBSTANCE ABUSE TERRORISM AND HOMELAND SECURITY TRANSPORTATION AND INFRASTRUCTURE WORKFORCE AND WORKPLACE The Health Insurance Experiment A Classic RAND

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How Do Findings Of The Rand Health Insurance Experiment

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R Health Insurance Experiment reinforces relation between growth of third-party reimbursement and increasing health care costs: Cost sharing is a common feature of any health plan. It became more popular after R Health Insurance Experiment, which demonstrate effects of cost sharing.

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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 @inproceedings{Gruber2006TheRO, title={The Role of Consumer Copayments for Health Care : Lessons from the RAND Health Insurance Experiment and Beyond}, author={J

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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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Best Module 2 MAPS Flashcards Quizlet

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  • The Health Insurance Experiment results showed all of the following EXCEPT: a.Participants in the high cost sharing plans spent less on health care then those in the free plan
  • The proportion of inappropriate hospitalization was the same in both the free and cost-sharing plans.


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Chap 16 Flashcards Quizlet

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  • Which statement by the nurse shows understanding of the Rand Health Insurance Experiment? a
  • "When consumers were required to pay 25% co-payment, there was a considerable decline in the use of health care services." b
  • "There was an increase in the use of health care services when consumers were required to make a co-payment." c.


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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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American Health Policy: Cracks In The Foundation Journal

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Further, it holds that the RAND experiment's finding (that health care could be reduced substantially with little or no effect on health) may actually be caused by the large number of participants who voluntarily dropped out of the cost-sharing arms of the experiment. Indeed, almost all of the reduction in hospital use in the cost-sharing plans

Health Insurance
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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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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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Intertemporal Substitution In Health Care Demand

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Get this from a library! Intertemporal substitution in health care demand : evidence from the RAND Health Insurance Experiment. [Haizhen Lin; Daniel W Sacks; National Bureau of Economic Research,] -- Nonlinear cost-sharing in health insurance encourages intertemporal substitution because patients can reduce their out-of-pocket costs by concentrating spending in years when they hit 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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Attrition In The RAND Health Insurance Experiment: A

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  • 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, when faced with a hospitalization, withdrew
  • His argument is implausible because (1) families facing

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RAND Health Insurance Experiment

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  • RHIE - RAND Health Insurance Experiment
  • Looking for abbreviations of RHIE? It is RAND Health Insurance Experiment
  • RAND Health Insurance Experiment listed as RHIE
  • RAND Health Insurance Experiment - How is RAND Health Insurance Experiment abbreviated? Wage growth for the health care workforce: Projecting the affordable care act impact.

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FAQ rand health insurance experiment

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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