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The Oregon Health Plan

Posted: 17 Nov 1998  

Theodore R. Marmor

Yale School of Management

Jonathan Oberlander

University of North Carolina (UNC) at Chapel Hill - Department of Social Medicine

Lawrence Jacobs

University of Minnesota - Twin Cities - Department of Political Science

Date Written: November 1998

Abstract

The Oregon Health Plan (OHP) has been widely heralded as an important innovation in medical care policy. Oregon's pioneering model of prioritizing funding through systematically ranking
services drew an extraordinary amount of national and international attention. Indeed, the Oregon story has seemed so compelling and by now is so familiar that it has attained what Rudolf Klein termed "nearly mythical status" in the health policy community.

The article proceeds in three sections. First, we very briefly review the original proposals and ensuing (and misleading) debate over rationing in Oregon. Next, we explore how the politics of rationing unfolded in Oregon from the enactment of OHP to its implementation. Finally, we consider the character of Oregon's innovation and the broader lessons that it holds for reform efforts elsewhere.

Suggested Citation

Marmor, Theodore R. and Oberlander, Jonathan and Jacobs, Lawrence, The Oregon Health Plan (November 1998). Available at SSRN: https://ssrn.com/abstract=139915

Theodore Richard Marmor (Contact Author)

Yale School of Management ( email )

135 Prospect Street
P.O. Box 208200
New Haven, CT 06520-8200
United States
203-432-3238 (Phone)

Jonathan Oberlander

University of North Carolina (UNC) at Chapel Hill - Department of Social Medicine ( email )

Medical School Wing D, CB #7240
Chapel Hill, NC 27599
919-962-1136 (after 5PM 962-11 (Phone)
919-966-7499 (Fax)

Lawrence R. Jacobs

University of Minnesota - Twin Cities - Department of Political Science ( email )

1414 Social Science Building 267 19th Avenue, South
Minneapolis, MN 55455-0410
United States
612-625-3384 (Phone)
612-626-7599 (Fax)

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