financing health care in oregon: four policy options...chapin white christine eibner jodi liu carter...

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Financing Health Care in Oregon: Four Policy Options

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Oregon is among the leading states in pursuing health care reform

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Oregon HB 3260 called for analysis of four policy options

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Oregon HB 3260 called for analysis of four policy options

RAND and Health Management Associates used qualitative & quantitative methods in the analysis

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We evaluated each option on multiple criteria

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Specifications and Key Results

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Proportion of Oregonians covered would vary by financing option

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SINGLE PAYER

HCIP PUBLIC OPTION

STATUS QUO

Single Payer

HCIP

Public Option (Nongroup)

Private nongroup coverage

Medicaid

Medicare, FEHB, VHA, IHS

Employer-sponsored group coverage

Uninsured

Policy options combine different financing sources

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SINGLE PAYER HCIP PUBLIC OPTION

Federal funding

New state payroll tax

Increase in state income tax

Reduce provider payment rates

New state sales tax

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The Bottom Line

Implementing any option requires keen awareness of benefits and trade-offs

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GSP: gross state product

Chapin White

Christine Eibner

Jodi Liu

Carter Price

Nora Leibowitz

Gretchen Morley

Jeanene Smith

Tina Edlund

Jack Meyer

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This presentation is based on work done in RAND Health documented in A Comprehensive Assessment of Four Options for Financing Health Care Delivery in Oregon, by Chapin White, Christine Eibner, Jodi L. Liu, Carter C. Price, Nora Leibowitz, Gretchen Morley, Jeanene Smith, Tina Edlund, and Jack Meyer, RR-1662-OHA, 2017 (available at www.rand.org/t/RR1662).

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