The Accelerated Benefits Demonstration and Evaluation Project: Impacts on Health and Employment at Twelve Months Volume 1

Michalopoulos, Charles; Wittenburg, David; Israel, Dina A. R.; Schore, Jennifer; Warren, Anne; Zutshi, Aparajita; Freedman, Stephen; Schwartz, Lisa

doi:10.2139/ssrn.2031259

Cited by 21 publications

(29 citation statements)

References 24 publications

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“…32 The RAND Experiment did not analyze the impact of health insurance on financial risk exposure. 33 Slightly more comparable to our estimates are the results from a contemporaneous randomized trial of the one-year effects of extending public health insurance coverage to uninsured nonelderly adults receiving Social Security Disability Insurance (Michalopoulos et al 2011). This population is similar in age 30 There is also evidence of a decline in financial strain in the initial survey that is about 40% the magnitude of the analogous measures in the later survey.…”

Section: Via Comparison With Other Estimatessupporting

confidence: 53%

“…The RAND Health Insurance Experiment from the 1970s was designed to investigate the marginal impact of varying insurance cost-sharing features among approximately 6,000 insured individuals, not the effect of insurance coverage itself (Manning et al 1987;Newhouse and the Insurance Experiment Group 1993). The more recent Accelerated Benefits Demonstration project was designed to investigate the impact of health insurance for uninsured disabled adults receiving Social Security Disability Insurance during the two-year waiting period for Medicare (Michalopoulos et al 2011). control groups differentially reporting outcomes, but they only cover a relatively narrow set of outcomes. The survey data allow examination of a much richer set of outcomes than is feasible with administrative data alone, but with a 50% effective response rate, are subject to potential nonresponse bias.…”

Section: Introductionmentioning

confidence: 99%

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The Oregon Health Insurance Experiment: Evidence from the First Year

et al. 2011

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In 2008, a group of uninsured low-income adults in Oregon was selected by lottery to be given the chance to apply for Medicaid. This lottery provides an opportunity to gauge the effects of expanding access to public health insurance on the health care use, financial strain, and health of low-income adults using a randomized controlled design. In the year after random assignment, the treatment group selected by the lottery was about 25 percentage points more likely to have insurance than the control group that was not selected. We find that in this first year, the treatment group had substantively and statistically significantly higher health care utilization (including primary and preventive care as well as hospitalizations), lower out-of-pocket medical expenditures and medical debt (including fewer bills sent to collection), and better self-reported physical and mental health than the control group. * We are grateful to

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Section: Via Comparison With Other Estimatessupporting

confidence: 53%

Section: Introductionmentioning

confidence: 99%

The Oregon Health Insurance Experiment: Evidence from the First Year

et al. 2011

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“…The study sample was heterogeneous, including individuals with a variety of chronic debilitating health and mental conditions. In that trial, the rate of agreement to participate in PGAP-Tel was only 36%, and on average, providers made six unsuccessful calls before reaching participants for sessions [21]. There are a number of possible explanations for the lower rate of PGAP-Tel participation in SSA disability insurance recipients.…”

Section: Discussionmentioning

confidence: 97%

“…PGAP-Tel was previously included in a trial conducted with recipients of disability insurance with the Social Security Administration (SSA) of the United States [21]. Recipients of disability insurance were offered health care insurance, PGAP-Tel, and benefits counseling.…”

Section: Discussionmentioning

confidence: 99%

A telephonic intervention for promoting occupational re-integration in work-disabled individuals with musculoskeletal pain

Sullivan

Simon

2012

Behav. Med. Pract. Policy Res.

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The purpose of the present research was to examine the feasibility of a telephonic occupational rehabilitation program. A sample of 23 individuals with chronic musculoskeletal pain was enrolled in the telephonic version of the Progressive Goal Attainment Program (PGAP-Tel). The PGAP-Tel is a risk-targeted intervention designed to reduce pain-related disability consequent to musculoskeletal injury. Treatment outcomes of PGAP-Tel were compared to a group of individuals with chronic musculoskeletal pain, who participated in the face-to-face format of the PGAP. Results showed that PGAP-Tel was acceptable to the majority of participants (76%) to whom it was offered. There were indications that engagement and adherence issues were more problematic in PGAP-Tel than in the face-to-face intervention. Both groups showed comparable reductions in pain, depression, fear of symptom exacerbation, and self-reported disability. Participants in the face-to-face intervention showed greater reduction in catastrophic thinking than participants in PGAP-Tel. Finally, 26% of participants in PGAP-Tel had resumed some form of employment at treatment termination compared to 56% of the participants in the face-to-face intervention. Given the low cost of the PGAP-Tel intervention and the accessibility advantages of a telephonic delivery, this type of intervention might be an important resource for targeting occupational disability in rural or remote communities when face-to-face services are not available.

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“…The AB health insurance package led to a 22 percentage point (46%) increase in beneficiaries who received a diagnostic test; a 10 percentage point (50%) increase in beneficiaries who underwent surgery; an 18 percentage point (25%) reduction in beneficiaries reporting any unmet medical need; and a 40 percentage point (53%) reduction in beneficiaries reporting an unmet need for a prescription drug (Michalopoulos et al, 2011). We examine whether these early findings translate into improvements in health within the first year and reduced mortality among beneficiaries within the first few years following random assignment.…”

Section: Introductionmentioning

confidence: 99%