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Getty/ooyoo Financing Health Care in Oregon: Four Policy Options
Ge
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Financing Health Care in Oregon: Four Policy Options
1
2
Oregon is among the leading states in pursuing health care reform
3
Oregon HB 3260 called for analysis of four policy options
3
Oregon HB 3260 called for analysis of four policy options
RAND and Health Management Associates used qualitative & quantitative methods in the analysis
4
We evaluated each option on multiple criteria
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6
Specifications and Key Results
7 7
Proportion of Oregonians covered would vary by financing option
8
Pro
po
rtio
n o
f Ore
go
nia
ns
co
vere
d
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
9
SINGLE PAYER HCIP PUBLIC OPTION
Federal funding
New state payroll tax
Increase in state income tax
Reduce provider payment rates
New state sales tax
10
11 11
12 12
13 13
14
The Bottom Line
Implementing any option requires keen awareness of benefits and trade-offs
15
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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