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

Jonathan Gruber, Adrienne Sabety, Rishi Sood and Jin Yung Bae

No 29838, NBER Working Papers from National Bureau of Economic Research, Inc

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.

JEL-codes: I10 I14 I18 J15 J61 (search for similar items in EconPapers)
Date: 2022-03
New Economics Papers: this item is included in nep-hea and nep-mig
Note: CH EH LS PE
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Journal Article: Reducing Frictions in Health Care Access: The ActionHealthNYC Experiment for Undocumented Immigrants (2023)
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