#THE EXPERIMENT 2010 ONLINE SUBTITULADA FREE#

For the study, RAND recruited 2,750 families encompassing more than 7,700 individuals, all of whom were under the age of 65. The HIE was a large-scale, randomized experiment conducted between 19.

How does cost sharing or membership in an HMO affect appropriateness and quality of care received?.

#THE EXPERIMENT 2010 ONLINE SUBTITULADA FREE#

How does cost sharing or membership in an HMO affect use of health services compared to free care?.To inform this debate, an interdisciplinary team of RAND researchers designed and carried out the HIE, one of the largest and most comprehensive social science experiments ever performed in the United States. At the time, the debate focused on free, universal health care and whether the benefits would justify the costs. In the early 1970s, financing and the impact of cost sharing took center stage in the national health care debate. Learning from Experiment: Conducting the HIE Our goal is not to conclude that cost sharing is good or bad but to illuminate its effects so that policymakers can use the information to make sound decisions.

The purpose of this research brief is to summarize the HIEвЂ™s main findings and clarify its relevance for todayвЂ™s debate. Although it was completed over two decades ago, in 1982, the HIE remains the only long-term, experimental study of cost sharing and its effect on service use, quality of care, and health. Recent public discussion of cost sharing has often cited a landmark RAND study: the Health Insurance Experiment (HIE). One idea that has returned to prominence is cost sharing, which involves shifting a greater share of health care expense and responsibility onto consumers. In the coming years, new solutions will be explored and older ideas revisited. health care system has yet to solve a fundamental challenge: delivering quality health care to all Americans at an affordable price.

Spending numbers have been adjusted to 2005 dollars using all-items Consumer Price Index.ДЄfter decades of evolution and experiment, the U.S. NOTES: Spending numbers include both adults and children. Participants with Cost Sharing Spent Less on Health Care Services NOTE: Utilization numbers include both adults and children. and Were Admitted to Hospitals Less Often SOURCE: Newhouse and the Insurance Experiment Group, 1993, Tables 3.2 and 3.3. Participants with Cost Sharing Visited the Doctor Less Frequently These improvements were concentrated among the sickest and poorest patients.ДЇigure 1. Cost sharing did not significantly affect the quality of care received by participants.Д¬ost sharing in general had no adverse effects on participant health, but there were exceptions: free care led to improvements in hypertension, dental health, vision, and selected serious symptoms. In a large-scale, multiyear experiment, participants who paid for a share of their health care used fewer health services than a comparison group given free care.Д¬ost sharing reduced the use of both highly effective and less effective services in roughly equal proportions.

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