Reducing Frictions in Healthcare Access: The ActionHealth NYC Experiment for Undocumented Immigrants
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.
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Copy CitationJonathan Gruber, Adrienne Sabety, Rishi Sood, and Jin Yung Bae, "Reducing Frictions in Healthcare Access: The ActionHealth NYC Experiment for Undocumented Immigrants," NBER Working Paper 29838 (2022), https://doi.org/10.3386/w29838.Download Citation
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Published Versions
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, DOI: 10.1257/aeri.20220126. citation courtesy of ![]()