The impact of increased cost sharing on medicaid enrollees

Bill J. Wright, Matthew J. Carlson, Tina Edlund, Jennifer Devoe, Charles Gallia, Jeanene Smith

Research output: Contribution to journalArticle

48 Citations (Scopus)

Abstract

Many state Medicaid programs are implementing cost-saving mechanisms, but little is known about the impact of those strategies on low-income people. Recent increases in cost sharing for Oregon Health Plan (OHP, Oregon's Medicaid program) members have created a natural experiment that is ideal for examining such impacts. Early results from an ongoing cohort study suggest that cost-sharing increases led to a large reduction in OHP membership. Those who left OHP because of the cost-sharing increase reported inferior access to needed care, used primary care less often, and used hospital emergency rooms more often than those who left OHP for other reasons.

Original languageEnglish (US)
Pages (from-to)1106-1116
Number of pages11
JournalHealth Affairs
Volume24
Issue number4
DOIs
StatePublished - Jul 2005

Fingerprint

Cost Sharing
cost sharing
Medicaid
Hospital Emergency Service
Primary Health Care
Cohort Studies
low income
Costs and Cost Analysis
experiment
Health
costs
health

ASJC Scopus subject areas

  • Nursing(all)
  • Health(social science)
  • Health Professions(all)
  • Health Policy

Cite this

Wright, B. J., Carlson, M. J., Edlund, T., Devoe, J., Gallia, C., & Smith, J. (2005). The impact of increased cost sharing on medicaid enrollees. Health Affairs, 24(4), 1106-1116. https://doi.org/10.1377/hlthaff.24.4.1106

The impact of increased cost sharing on medicaid enrollees. / Wright, Bill J.; Carlson, Matthew J.; Edlund, Tina; Devoe, Jennifer; Gallia, Charles; Smith, Jeanene.

In: Health Affairs, Vol. 24, No. 4, 07.2005, p. 1106-1116.

Research output: Contribution to journalArticle

Wright, BJ, Carlson, MJ, Edlund, T, Devoe, J, Gallia, C & Smith, J 2005, 'The impact of increased cost sharing on medicaid enrollees', Health Affairs, vol. 24, no. 4, pp. 1106-1116. https://doi.org/10.1377/hlthaff.24.4.1106
Wright BJ, Carlson MJ, Edlund T, Devoe J, Gallia C, Smith J. The impact of increased cost sharing on medicaid enrollees. Health Affairs. 2005 Jul;24(4):1106-1116. https://doi.org/10.1377/hlthaff.24.4.1106
Wright, Bill J. ; Carlson, Matthew J. ; Edlund, Tina ; Devoe, Jennifer ; Gallia, Charles ; Smith, Jeanene. / The impact of increased cost sharing on medicaid enrollees. In: Health Affairs. 2005 ; Vol. 24, No. 4. pp. 1106-1116.
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