Research published in Health Services Research suggests that utilization differences among enrollees in high-deductible versus other plan designs is driven by selection issues.
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An analysis from the Health Care Cost Institute finds that members in high deductible health plans spend less on chronic conditions.
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A survey in Health Affairs looks at health behaviors of high-deductible plan consumers.
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A new paper from the National Bureau of Economic Research looks at the effects of high patient cost-sharing on health spending growth.
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Research in JAMA Internal Medicine confirms common sense; lower income persons enrolled in high-deductible plans spend a higher percent of their income on out-of-pocket health spending. The obvious solution is for employers to provide more health savings dollars for lower-income workers.
https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2705692A study carried in Health Affairs discusses trends in high-deductible health plans.
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A study published in the American Journal of Managed Care assesses the impact of high-deductible plans on low-value health services.
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Research published in Health Affairs finds that high-deductible plans discourage both needed and unnecessary care use.
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Recent research suggests that high-deductible plans result in reduced spending over at least a three year time frame.
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A Centers for Disease Control survey finds that high-deductible plans may create financial barriers to care for some enrollees. Duh.
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A Mercer survey finds that over half of all large employers offer a high-deductible plan, but only 1/4 of workers enroll in them. Only 6% of large employers make it the only choice, even though the plans lower cost.
https://www.mercer.com/content/dam/mercer/attachments/private/gl-2017-health-national-survey-infographic-series-mercer.pdfHaving a low or a high deductible insurance plan is associated with a reduction in receipt of certain care by diabetes patients, but not with a change in outcomes.
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According to an Advisory Board survey, providers are requiring more upfront payment of cost-sharing amounts by patients, largely as a result of the growth of high-deductible plans.
http://www.prnewswire.com/news-releases/high-deductible-health-plans-propel-sweeping-change-in-how-providers-collect-for-care-300167851.htmlAn outstanding economic paper published by the National Bureau of Economic Research explores in some complexity the overall effects of a high deductible on consumer behavior. A must read.
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A Truven study suggests that CDHP membership may save costs but also may lead to avoidance of needed care.
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About this Blog
The Healthy Skeptic is a website about the health care system, and is written by Kevin Roche, who has many years of experience working in the health industry. Mr. Roche is available to assist health care companies through consulting arrangements through Roche Consulting, LLC and may be reached at khroche@healthy-skeptic.com.
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