دورية أكاديمية
Does Enrollment in High-Deductible Health Plans Encourage Price Shopping?
| العنوان: | Does Enrollment in High-Deductible Health Plans Encourage Price Shopping? |
|---|---|
| المؤلفون: | Zhang X; Department of Pharmaceutical Health & Economics, University of Southern California, Los Angeles, CA., Haviland A; Carnegie Mellon University, Pittsburgh, PA., Mehrotra A; Department of Health Care Policy, Harvard Medical School, Boston, MA., Huckfeldt P; University of Minnesota School of Public Health, Minneapolis, MN., Wagner Z; Center for Population Health Sciences, Stanford University, Palo Alto, CA., Sood N; University of Southern California Sol Price School of Public Policy, Los Angeles, CA.; University of Southern California Leonard D. Schaeffer Center for Health Policy & Economics, Los Angeles, CA. |
| المصدر: | Health services research [Health Serv Res] 2018 Aug; Vol. 53 Suppl 1, pp. 2718-2734. Date of Electronic Publication: 2017 Oct 23. |
| نوع المنشور: | Journal Article; Research Support, N.I.H., Extramural |
| اللغة: | English |
| بيانات الدورية: | Publisher: Blackwell Country of Publication: United States NLM ID: 0053006 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1475-6773 (Electronic) Linking ISSN: 00179124 NLM ISO Abbreviation: Health Serv Res Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Malden, MA : Blackwell Original Publication: Chicago, Hospital Research and Educational Trust. |
| مواضيع طبية MeSH: | Choice Behavior*, Commerce/*statistics & numerical data , Deductibles and Coinsurance/*statistics & numerical data , Health Benefit Plans, Employee/*statistics & numerical data, Adult ; Commerce/economics ; Cost Savings ; Deductibles and Coinsurance/economics ; Diagnostic Techniques and Procedures/economics ; Female ; Health Benefit Plans, Employee/economics ; Humans ; Insurance Claim Review ; Longitudinal Studies ; Male ; Middle Aged ; Office Visits/economics ; United States |
| مستخلص: | Objective: To investigate whether enrollment in high-deductible health plans (HDHPs) led enrollees to choose lower-priced providers for office visits and laboratory tests. Study Setting: Claims data from more than 40 large employers. Study Design: We compared the change in price for office visits and laboratory tests for enrollees who switched to HDHPs versus enrollees who remained in traditional plans. We estimated separate models for enrollees who changed providers versus those who remained with the same provider to disentangle the effects of HDHPs on provider choice and negotiated prices. Data Collection: Claims data from 2004 to 2010 on 1.8 million enrollees. Principal Findings: After enrollment in HDHPs, 28 percent of enrollees changed physicians for office visits (compared to 19 percent in the Traditional Plan group, p < .01); however, this did not result in a statistically significant reduction in price for office visits. About 25 percent of enrollees changed providers for laboratory tests (compared to 23 percent in the Traditional Plan group, p < .01), resulting in savings of about $2.09 or a 12.8 percent reduction in price per laboratory test. We found that HDHPs had lower negotiated prices for office visits but not for laboratory tests. Conclusions: High-deductible health plan enrollment may shift enrollees to lower cost providers, resulting in modest savings. (© Health Research and Educational Trust.) |
| التعليقات: | Comment in: J Urol. 2019 Apr;201(4):657-658. (PMID: 30664088) |
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| معلومات مُعتمدة: | R01 AG043850 United States AG NIA NIH HHS |
| فهرسة مساهمة: | Keywords: High-deductible health plans; benefit design; price shopping; transparency; value |
| تواريخ الأحداث: | Date Created: 20171024 Date Completed: 20190409 Latest Revision: 20190725 |
| رمز التحديث: | 20240628 |
| مُعرف محوري في PubMed: | PMC6056587 |
| DOI: | 10.1111/1475-6773.12784 |
| PMID: | 29058316 |
| قاعدة البيانات: | MEDLINE |
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