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Reducing Frictions in Healthcare Access: The ActionHealth NYC Experiment for Undocumented Immigrants / Jonathan Gruber, Adrienne Sabety, Rishi Sood, Jin Yung Bae.

NBER Working papers Available online

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Format:
Book
Author/Creator:
Gruber, Jonathan.
Contributor:
National Bureau of Economic Research.
Sabety, Adrienne.
Sood, Rishi.
Bae, Jin Yung.
Series:
Working Paper Series (National Bureau of Economic Research) no. w29838.
NBER working paper series no. w29838
Language:
English
Physical Description:
1 online resource: illustrations (black and white);
Place of Publication:
Cambridge, Mass. National Bureau of Economic Research 2022.
Summary:
In 2016, New York City designed and implemented an intervention reducing frictions in accessing safety-net care: randomly making initial primary care appointments for 2,428 undocumented immigrants. We leverage a novel survey-administrative data linkage to show that the program resulted in a more efficient allocation of care. The program increased self-reported access to primary care, leading to a 21% fall in emergency department (ED) use. This effect was driven by high-risk individuals whose ED visits fell by 42% on average. Among those visiting sponsored clinics, chronic condition diagnoses and preventive screens increased, positively affecting long-run health.
Notes:
Print version record
March 2022.

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