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Portland State University

Oregon Health Plan

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Issue Brief: The Impact Of Cost Sharing And Benefit Changes To Oregon Health Plan Beneficiaries: Results, Two Years Later, Bill J. Wright, Matthew J. Carlson Oct 2005

Issue Brief: The Impact Of Cost Sharing And Benefit Changes To Oregon Health Plan Beneficiaries: Results, Two Years Later, Bill J. Wright, Matthew J. Carlson

Sociology Faculty Publications and Presentations

This study was launched in 2003 and followed a representative sample of OHP enrollees through the redesign of the program (OHP2) to gain a better understanding of the impact of those changes, including increased cost-sharing, cuts to benefits and stricter rules around payment of premiums. The objectives of this ongoing study are to assess the short and long-term impacts around five main outcome areas: health insurance coverage, access to care, utilization of care, individuals’ financial well being and health status. The key findings from the second round of surveying are detailed in this brief and reflect impacts approximately 18 months …


Impact Of Changes To Premiums, Cost-Sharing, And Benefits On Adult Medicaid Beneficiaries: Results From An Ongoing Study Of The Oregon Health Plan, Bill J. Wright, Matthew J. Carlson, Jeanene Smith, Tina Edlund Jul 2005

Impact Of Changes To Premiums, Cost-Sharing, And Benefits On Adult Medicaid Beneficiaries: Results From An Ongoing Study Of The Oregon Health Plan, Bill J. Wright, Matthew J. Carlson, Jeanene Smith, Tina Edlund

Sociology Faculty Publications and Presentations

In 2003, Oregon implemented changes to its Medicaid program to cope with budget shortfalls. In addition to reducing benefits, increasing premiums, and implementing copays for a substantial portion of enrollees, the Oregon Health Plan (OHP) also eliminated premium exemptions and instituted a six-month lockout for individuals missing premium payments. In 2004, OHP rolled back some of these policies. An ongoing study of the impact of OHP’s program changes finds that, after the initial cost-sharing increases and benefit reductions, nearly two-thirds of individuals surveyed had lost their coverage, many directly resulting from increased costs. Those who left because of premiums and …


The Impact Of Program Changes On Enrollment, Access, And Utilization In The Oregon Health Plan Standard Population, Matthew J. Carlson, Bill J. Wright Mar 2005

The Impact Of Program Changes On Enrollment, Access, And Utilization In The Oregon Health Plan Standard Population, Matthew J. Carlson, Bill J. Wright

Sociology Faculty Publications and Presentations

In February 2003, in an effort to expand Medicaid coverage within tight fiscal constraints, the Oregon Health Plan (OHP) underwent a significant redesign of benefits, cost-sharing and premium structure. The OHP2 redesign resulted in two tiers of coverage, OHP Plus and OHP Standard, and a premium subsidy program. The OHP Plus benefit package and cost sharing structure is similar to the original OHP and serves the federally-mandated Medicaid populations: children and pregnant women, low-income elderly and individuals meeting the SSI definition of disability. OHP Standard, designed for Oregon’s expansion population,1 includes a reduced benefit package, expanded co-pays and increased premiums. …


The Impact Of Program Changes On Health Care For The Ohp Standard Population: Early Results From A Prospective Cohort Study, Matthew J. Carlson, Bill J. Wright, Charles Gallia Jan 2004

The Impact Of Program Changes On Health Care For The Ohp Standard Population: Early Results From A Prospective Cohort Study, Matthew J. Carlson, Bill J. Wright, Charles Gallia

Sociology Faculty Publications and Presentations

The purpose of this study is to assess the impact of benefit changes on the Oregon Health Plan (OHP) Standard Population across three domains: Enrollment; Access to care; Utilization