Lessons from Oregon

Peter J. Neumann

in Using Cost-Effectiveness Analysis to Improve Health Care

Published in print December 2004 | ISBN: 9780195171860
Published online September 2009 | e-ISBN: 9780199865345 | DOI:
Lessons from Oregon

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This chapter describes Oregon's experiment with cost-effectiveness as part of a grander proposal to overhaul the state's health insurance system. It discusses the plan itself, the debate surrounding it and the consequences of the proposal. The plan included several features: requiring employers to provide health insurance to all permanent employees, funding a high-risk pool for individuals with pre-existing conditions, and expanding the state's Medicaid program to cover additional state residents. In the end, though, formal CEA itself played little role in the actual plan. It proved so controversial and difficult to implement that it was abandoned early on in the process even as the ranked list of medical conditions/treatments was salvaged.

Keywords: Medicaid; managed care; cost-effectiveness; access to care; Oregon

Chapter.  5110 words. 

Subjects: Public Health and Epidemiology

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