调和俄勒冈健康保险实验和马萨诸塞州健康改革看似矛盾的结果

IF 7.6 1区经济学 Q1 ECONOMICS

Review of Economics and Statistics Pub Date : 2023-05-01 Epub Date: 2023-05-09 DOI:10.1162/rest_a_01069

Amanda E Kowalski

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引用次数: 0

摘要

摘要俄勒冈州健康保险实验的一个主要结果是急诊室（ER）的使用率增加了。马萨诸塞州医疗改革的一个看似矛盾的结果是ER利用率下降。我通过识别俄勒冈州实验中的治疗效果异质性并将其外推到马萨诸塞州，来调和这两个结果。尽管俄勒冈州的合规者增加了他们的急诊室利用率，但相对于俄勒冈州的非合规者，他们被不利地选中，后者会降低他们的急诊机利用率。马萨诸塞州将覆盖范围从更高的水平扩大到更健康的合规者。因此，马萨诸塞州的同谋者可以与俄勒冈州的一部分从不接受者相媲美，他们可以调和结果。

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Reconciling Seemingly Contradictory Results from the Oregon Health Insurance Experiment and the Massachusetts Health Reform.

A headline result from the Oregon Health Insurance Experiment is that emergency room (ER) utilization increased. A seemingly contradictory result from the Massachusetts health reform is that ER utilization decreased. I reconcile both results by identifying treatment effect heterogeneity within the Oregon experiment and extrapolating it to Massachusetts. Even though Oregon compliers increased their ER utilization, they were adversely selected relative to Oregon never takers, who would have decreased their ER utilization. Massachusetts expanded coverage from a higher level to healthier compliers. Therefore, Massachusetts compliers are comparable to a subset of Oregon never takers, which can reconcile the results.

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来源期刊

Review of Economics and Statistics Multiple-

CiteScore

8.50

自引率

0.00%

发文量

175

期刊介绍： The Review of Economics and Statistics is a 100-year-old general journal of applied (especially quantitative) economics. Edited at the Harvard Kennedy School, the Review has published some of the most important articles in empirical economics.