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Reducing Frictions in Healthcare Access: The ActionHealth NYC Experiment for Undocumented Immigrants

Author

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

Abstract

In 2016, New York City designed and implemented an intervention reducing 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 resulted in a more efficient allocation of care. The program increased self-reported access to primary care, leading to a 21% fall in emergency department (ED) use. This effect was driven by high-risk individuals whose ED visits fell by 42% on average. Among those visiting sponsored clinics, chronic condition diagnoses and preventive screens increased, positively affecting long-run health.

Suggested Citation

  • Jonathan Gruber & Adrienne Sabety & Rishi Sood & Jin Yung Bae, 2022. "Reducing Frictions in Healthcare Access: The ActionHealth NYC Experiment for Undocumented Immigrants," NBER Working Papers 29838, National Bureau of Economic Research, Inc.
    • Handle: RePEc:nbr:nberwo:29838
    Note: CH EH LS PE
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    Cited by:

    1. 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:

    • I10 - Health, Education, and Welfare - - Health - - - General
    • 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
    • J61 - Labor and Demographic Economics - - Mobility, Unemployment, Vacancies, and Immigrant Workers - - - Geographic Labor Mobility; Immigrant Workers

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