Impact of Massachusetts Health Reform on Enrollment Length and Health Care Utilization in the Unsubsidized Individual Market

Abstract

MA health reform was associated with a decrease in short-term enrollment and changes in utilization patterns indicative of reduced adverse selection in the unsubsidized individual market. Adverse selection may be a problem for specific, high-cost treatments.

Massachusetts Health Reform's Effect on Hospitalizations with Substance Use Disorder–Related Diagnoses

“…Standard errors were adjusted for clustering of observations at the county level. As a sensitivity analysis, we estimated an alternative model specification obtained from the interrupted time series framework (Wagner et al 2002;Garabedian et al 2017); see Table S3 for details. To evaluate the appropriateness of the difference-in-differences specification, we tested the assumption of parallel trends to ensure that the prereform trends in the target and control groups were similar (Ryan, Burgess, and Dimick 2015;Garabedian et al 2017).…”

“…; Garabedian et al. ); see Table for details. To evaluate the appropriateness of the difference‐in‐differences specification, we tested the assumption of parallel trends to ensure that the prereform trends in the target and control groups were similar (Ryan, Burgess, and Dimick ; Garabedian et al.…”

Improving digital health services strategy using evidence to support community health care

“…The health area is one area that relies on much paper the traditional way. The timeframe for obtaining health services from the enrollment cycle to modest recovery is very poor for patients (Garabedian et al, 2017). The use of innovation, for example, advanced personality in health, can help overcome this problem.…”