Predicting the effect of the Oregon Health Plan on Medicaid coverage for outpatients with HIV.
- 1 December 1994
- journal article
- Published by American Public Health Association in American Journal of Public Health
- Vol. 84 (12) , 1994-1996
- https://doi.org/10.2105/ajph.84.12.1994
Abstract
The Oregon Health Plan, which took effect in February 1994, extends Medicaid eligibility but limits coverage to conditions and treatments above a certain threshold on a prioritized list. Retrospective analysis was conducted on records of visits to two Oregon human immunodeficiency virus (HIV) outpatient clinics in 1991 and 1992 to determine Medicaid coverage if the plan had been operational. Of 1129 patients, 21.1% were Medicaid-eligible; an additional 56.5% would have been eligible under the Oregon plan. Only 5.0% to 6.8% of these patients' visits were for conditions listed below the plan's coverage threshold; almost none of these were for HIV-specific conditions.Keywords
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