Reducing Frictions in Healthcare Access: The ActionHealthNYC Experiment for Undocumented Immigrants
Jin Yung Bae
- American Economic Review: Insights (Forthcoming)
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% fewer emergency department (ED) visits.
High-risk individuals’ ED visits fell by 32% on average, driving
the aggregate effect. Preventive care also increased among individuals
visiting sponsored clinics.
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