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SPHA 511: Government, Business and the Health Care System

SPHA 511: Government, Business and the Health Care System. RAND Health Insurance Experiment. RAND Health Insurance Experiment. Involved 2,000 non-elderly families 6 US cities From 1974 -1982 for 3 - 5 years each

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SPHA 511: Government, Business and the Health Care System

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  1. SPHA 511: Government, Business and the Health Care System RAND Health Insurance Experiment

  2. RAND Health Insurance Experiment • Involved 2,000 non-elderly families • 6 US cities • From 1974 -1982 for 3 - 5 years each • Randomized subjects into various health plans with payments ranging between 0% - 95%

  3. Purpose of Study • To study the effect of cost sharing on • Service Use • Quality of Care • Health Status

  4. The Set Up

  5. Conclusions of Experiment

  6. Conclusions of Experiment • No net adverse effect on health • No significant differences in the risk of dying, measures of pain, or worry • Poor and sick poor were severely affected mortality rates blood pressure

  7. What does this mean?

  8. OECD Countries with no cost sharing • Canada • Czech Republic • Denmark • Netherlands • Spain • United Kingdom

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