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Reducing Frictions in Health Care Access: The ActionHealthNYC Experiment for Undocumented Immigrants

Author

Listed:
  • Adrienne Sabety
  • Jonathan Gruber
  • Jin Yung Bae
  • Rishi Sood

Abstract

In 2016, New York City designed and implemented an intervention to reduce 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 increased self-reported access to primary care, leading to 23 percent fewer emergency department (ED) visits. High-risk individuals' ED visits fell by 32 percent on average, driving the aggregate effect. Preventive care also increased among individuals visiting sponsored clinics.

Suggested Citation

  • Adrienne Sabety & Jonathan Gruber & Jin Yung Bae & Rishi Sood, 2023. "Reducing Frictions in Health Care Access: The ActionHealthNYC Experiment for Undocumented Immigrants," American Economic Review: Insights, American Economic Association, vol. 5(3), pages 327-346, September.
    • Handle: RePEc:aea:aerins:v:5:y:2023:i:3:p:327-46
    DOI: 10.1257/aeri.20220126
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    Cited by:

    1. Sabety, Adrienne, 2023. "The value of relationships in healthcare," Journal of Public Economics, Elsevier, vol. 225(C).
    2. Bancalari, Antonella & Bernal, Pedro & Celhay, Pablo & Martinez, Sebastian & Sánchez, Maria Deni, 2023. "An Ounce of Prevention for a Pound of Cure: Efficiency of Community-Based Healthcare," IZA Discussion Papers 16350, Institute of Labor Economics (IZA).

    More about this item

    JEL classification:

    • H75 - Public Economics - - State and Local Government; Intergovernmental Relations - - - State and Local Government: Health, Education, and Welfare
    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private
    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • J15 - Labor and Demographic Economics - - Demographic Economics - - - Economics of Minorities, Races, Indigenous Peoples, and Immigrants; Non-labor Discrimination

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