Evidence map›Paper›PMID 38236917›Full record

ArticlePloS one2024

Heterogeneity within the Oregon Health Insurance Experiment: An application of causal forests.

Zaid Hattab, Edel Doherty, Andrew M Ryan, Stephen O'Neill

Abstract read
In one paragraph

Article in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Zaid HattabJ.E. Cairnes School of Business and Economics, University of Galway, Galway, Ireland.ORCID 0000-0003-1139-2030
Edel DohertyJ.E. Cairnes School of Business and Economics, University of Galway, Galway, Ireland.
Andrew M RyanDepartment of Health Services, Policy, and Practice, Brown University, Providence, Rhode Island, United States of America.
Stephen O'NeillDepartment of Health Services Research and Policy, London School of Hygiene and Tropical Medicine, London, United Kingdom.ORCID 0000-0002-0022-0500

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Existing evidence regarding the effects of Medicaid expansion, largely focused on aggregate effects, suggests health insurance impacts some health, healthcare utilization, and financial hardship outcomes. In this study we apply causal forest and instrumental forest methods to data from the Oregon Health Insurance Experiment (OHIE), to explore heterogeneity in the uptake of health insurance, and in the effects of (a) lottery selection and (b) health insurance on a range of health-related outcomes. The findings of this study suggest that the impact of winning the lottery on the health insurance uptake varies among different subgroups based on age and race. In addition, the results generally coincide with findings in the literature regarding the overall effects: lottery selection (and insurance) reduces out-of-pocket spending, increases physician visits and drug prescriptions, with little (short-term) impact on the number of emergency department visits and hospital admissions. Despite this, we detect quite weak evidence of heterogeneity in the effects of the lottery and of health insurance across the outcomes considered.

Indexed as

Insurance CoverageInsurance, HealthHealth ExpendituresHumansMedicaidOregonUnited States

Identifiers

PMID38236917
PMCPMC10796043

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.