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Consumer Driven Health Plans Cdhps Are They A Viable Long Term Solution To Rising Costs In Employer Sponsored Health Plans
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Book Synopsis Consumer-Driven Health Plans (CDHPs) Are they a viable long-term solution to rising costs in employer-sponsored health plans? by : Natalie Boyle
Download or read book Consumer-Driven Health Plans (CDHPs) Are they a viable long-term solution to rising costs in employer-sponsored health plans? written by Natalie Boyle and published by . This book was released on 2009 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Evaluation of the Effect of a Consumer Driven Health Plan on Medical Care Expenditures and Utilization by : Stephen L. Parente
Download or read book Evaluation of the Effect of a Consumer Driven Health Plan on Medical Care Expenditures and Utilization written by Stephen L. Parente and published by . This book was released on 2004 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Objective: To compare medical care costs and utilization in a consumer directed health plan (CDHP) to other health insurance plans. Study Design: We examine claims and employee demographic data from one large employer that adopted a CDHP in 2001. A quasi-experimental pre/post design is used to assign employees to three cohorts: 1) enrolled in an HMO from 2000 to 2002, 2) enrolled in a PPO from 2000 to 2002, or 3) enrolled in a CDHP in 2001 and 2002, after previously enrolling in either an HMO or PPO in 2000. Using this approach we estimate a difference-in-difference regression model for expenditure and utilization measures to identify the impact of CDHP. Principal Findings: By 2002, the CDHP cohort experienced lower total expenditures than the PPO cohort but higher expenditures than the HMO cohort. Physician visits and pharmaceutical use and costs were lower in the CDHP cohort compared to the other groups. Hospital costs and admission rates, for CDHP enrollees, as well as total physician expenditures, were significantly higher than for enrollees in the HMO and PPO plans. Conclusions: An early evaluation of CDHP expenditure and utilization reveals that the new health plan is a viable alternative to existing health plan designs. Enrollees in the CDHP have lower total expenditures than PPO enrollees, but higher utilization of resource-intensive hospital admissions after an initially favorable selection.
Author :United States Government Accountability Office Publisher :Createspace Independent Publishing Platform ISBN 13 :9781976431760 Total Pages :38 pages Book Rating :4.4/5 (317 download)
Book Synopsis Consumer-Directed Health Plans by : United States Government Accountability Office
Download or read book Consumer-Directed Health Plans written by United States Government Accountability Office and published by Createspace Independent Publishing Platform. This book was released on 2017-10-04 with total page 38 pages. Available in PDF, EPUB and Kindle. Book excerpt: Insurance carriers, employers, and individuals are showing increasing interest in consumer-directed health plans (CDHP). CDHPs typically combine a high-deductible health plan with a health reimbursement arrangement (HRA) or health savings account (HSA). HRAs and HSAs are tax-advantaged accounts used to pay enrollees' health care expenses, and unused balances may accrue for future use, potentially giving enrollees an incentive to purchase health care more prudently. The plans also provide decision-support tools to help enrollees become more actively involved in making health care purchasing decisions. Because CDHPs are relatively new, there is interest in the extent of enrollment and in other aspects of the plans. GAO was asked to review the prevalence of CDHPs, how the associated accounts are funded and used, and the factors that may contribute to the growth or limit the appeal of these plans. GAO examined survey data on CDHP enrollment and interviewed or obtained data from employers, insurance carriers, individuals, financial institutions, and other
Book Synopsis Consumer-Directed Health Plans Reduce the Long-Term Use of Outpatient Physician Visits and Prescription Drugs by : Paul Fronstin
Download or read book Consumer-Directed Health Plans Reduce the Long-Term Use of Outpatient Physician Visits and Prescription Drugs written by Paul Fronstin and published by . This book was released on 2015 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Consumer-directed health plans (CDHPs) are designed to make employees more cost- and health-conscious by exposing them more directly to the costs of their care, which should lower demand for care and, in turn, control premium growth. These features have made consumer-directed plans increasingly attractive to employers. We explored effects of consumer-directed health plans on health care and preventive care use, using data from two large employers -- one that adopted a CDHP in 2007 and another with no CDHP. Our study had mixed results relative to expectations. After four years under the CDHP, there were 0.26 fewer physician office visits per enrollee per year and 0.85 fewer prescriptions filled, but there were 0.018 more emergency department visits. Also, the likelihood of receiving recommended cancer screenings was lower under the CDHP after one year and, even after recovering somewhat, still lower than baseline at the study's conclusion. If CDHPs succeed in getting people to make more cost-sensitive decisions, plan sponsors will have to design plans to incentivize primary care and prevention and educate members about what the plan covers.
Book Synopsis What Do We Know About Enrollment in Consumer-Driven Health Plans? by : Paul Fronstin
Download or read book What Do We Know About Enrollment in Consumer-Driven Health Plans? written by Paul Fronstin and published by . This book was released on 2009 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This paper summarizes the literature on CDHP offer rates and enrollment. Since consumer-driven health plans (CDHPs) were first offered in 2001, estimates of how many workers would be enrolled in these plans have varied widely. The U.S. Treasury Department has predicted that 25-30 million people would be covered by a health savings account (HSA)-eligible plan and would have an account by 2010. The percentage of employers offering CDHPs has gone from virtually none in 2000 to 12 percent in 2009. When examining the entire employment-based market, what had been steady growth in offer rates appears to have slowed. Between 2008 and 2009, the percentage of small firms (3-199 workers) that offered a CDHP declined from 13 percent to 11 percent (although the change was not statistically significant). However, larger firms continued to add a CDHP as an option. The percentage of employers with 500-999 workers reporting that they were likely to offer a CDHP in 2009 was 20 percent, or 6 percentage points higher than the actual offer rate in 2008. The percentage of firms with 1,000 or more workers that offered a CDHP increased from 22 percent in 2008 to 28 percent in 2009. The overall trend rate did not change because employers with 1,000 or more employees account for about 15 percent of all employers. Based on the various sources of data on enrollment in health reimbursement arrangements (HRAs) and HSA-eligible plans, it appears that 15-19 million people were enrolled in these plans in 2009, representing 9-11 percent of the privately insured market. The PDF for the above title, published in the December 2009 issue of EBRI Notes, also contains the fulltext of another December 2009 EBRI Notes article abstracted on SSRN: “Investment Behavior of Target-Date Fund Users Having Other Funds in 401(k) Plan Accounts.”
Book Synopsis Characteristics of the Population with Consumer-Driven and High-Deductible Health Plans, 2005-2014 by : Paul Fronstin
Download or read book Characteristics of the Population with Consumer-Driven and High-Deductible Health Plans, 2005-2014 written by Paul Fronstin and published by . This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This paper examines the population with a consumer-driven health plan (CDHP) and how it has differed from the population with traditional health coverage. Data from the 2005-2007 EBRI/Commonwealth Fund Consumerism in Health Care Survey and the 2008-2014 EBRI/Greenwald & Associates Consumer Engagement in Health Care Survey (CEHCS) were used for the analysis. Differences between the populations with traditional coverage and those with high-deductible health plans (HDHPs) were also examined. The populations of adults within consumer-driven health plans (CDHPs), high-deductible health plans (HDHPs) and traditional health plans were each split about 50-50 between men and women in 2014. CDHP enrollees were less likely than those with traditional coverage to be between the ages of 21 and 34 in 2014, and more likely to be ages 45-54. CDHP enrollees were more likely than traditional-plan enrollees to be in households with $150,000 or more in income in every year except 2006, 2009, and 2010. They were also more likely to be in households with $100,000-$149,999 in income in most years. They were roughly twice as likely as individuals with traditional coverage to have college or postgraduate educations in nearly all years of the survey. With the exception of 2007, the survey has never found differences in self-rated health status between HDHP enrollees and individuals with traditional coverage. In contrast, in nine out of 10 years of the survey (2009 was the exception), it was found that CDHP enrollees were more likely than traditional-plan enrollees to report excellent or very good health. In the earlier years of the survey (2005-2009), the CDHP population was more likely than the population with traditional coverage to have that coverage through small employers (between two and 49 employees). More recently (2010-2014), there were few statistically significant differences by employer size between the CDHP population and the population with traditional coverage. When comparing HDHP enrollees with traditional-plan enrollees, it was found that, in all years of the survey except 2007, HDHP enrollees were less likely than traditional-plan enrollees to work for large employers (500 or more employees). They were more likely to work for small employers in all years of the survey except for 2010.
Book Synopsis The Impact of Length of Time Enrolled in a Health Plan on Consumer Engagement and Health Plan Satisfaction by : Paul Fronstin
Download or read book The Impact of Length of Time Enrolled in a Health Plan on Consumer Engagement and Health Plan Satisfaction written by Paul Fronstin and published by . This book was released on 2018 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The EBRI/Greenwald & Consumer Engagement in Health Care Survey (CEHCS) is an online survey that examines issues surrounding consumer-driven health care, including the cost of insurance, the cost of care, satisfaction with health care, satisfaction with health care plans, reasons for choosing a plan, and sources of health information. The survey was conducted Aug. 10 to Sept. 1, 2017. Over 3,560 adults ages 21-64 who had health insurance through an employer, purchased directly from a carrier, or purchased through a government exchange participated in the survey. This Issue Brief focuses on whether and how attitudes and behaviors change with the amount of time an individual has been enrolled in their health plan. Overall satisfaction does not increase when participants are in health plans for long periods of time (e.g., 10 years), regardless of whether the plan is a traditional health plan, consumer-driven health plan (CDHP), or high deductible health plan (HDHP). Likewise, consumer engagement does not increase with time enrolled in a health plan. However, there is some evidence that health savings account (HSA)-eligible health plan enrollees are more engaged in some aspects of their HSA the longer they have been enrolled in their HSA-eligible health plan.
Book Synopsis Employee Choice of Consumer Driven Health Insurance in a Multi-Plan, Multi-Product Setting by : Stephen L. Parente
Download or read book Employee Choice of Consumer Driven Health Insurance in a Multi-Plan, Multi-Product Setting written by Stephen L. Parente and published by . This book was released on 2004 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Objective: To determine who chooses a Consumer Driven Health Plan (CDHP) in a multi-plan, multi-product setting, and, specifically, whether the CDHP attracts the sicker employees in a company's risk pool.Study Design: We estimated a health plan choice equation for employees of the University of Minnesota, who had a choice in 2002 of a CDHP and three other health plans - a traditional HMO, a preferred provider organization (PPO), and a tiered network product based on care systems. Data from an employee survey were matched to information from the university's payroll system.Principal Findings: Chronic illness of the employee or family members had no effect on choice of the CDHP, but such employees tended to choose the PPO. The employee's age was not related to CDHP choice. Higher-income employees chose the CDHP, as well as those who preferred health plans with a national provider panel that includes their physician in the panel. Employees tended to choose plans with lower out-of-pocket premiums, and surprisingly, employees with a chronic health condition themselves or in their family were more price-sensitive. Conclusions: This study provides the first evidence on who chooses a CDHP in a multi-plan, multi-product setting. The CDHP was not chosen disproportionately by the young and healthy, but it did attract the wealthy and those who found the availability of providers more appealing. Low out-of-pocket premiums are important features of health plans and in this setting, low premiums appeal to those who are less healthy.
Book Synopsis Patient Responses to Incentives in Consumer-directed Health Plans by : Peter J. Huckfeldt
Download or read book Patient Responses to Incentives in Consumer-directed Health Plans written by Peter J. Huckfeldt and published by . This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Prior studies suggest that consumer-directed health plans (CDHPs) -characterized by high deductibles and health care accounts- reduce health costs, but there is concern that enrollees indiscriminately reduce use of low-value services (e.g., unnecessary emergency department use) and high-value services (e.g., preventive care). We investigate how CDHP enrollees change use of pharmaceuticals for chronic diseases. We compare two large firms where nearly all employees were switched to CDHPs to firms with conventional health insurance plans. In the first firm's CDHP, pharmaceuticals were subject to the deductible, while in the second firm pharmaceuticals were exempt. Employees in the first firm shifted the timing of drug purchases to periods with lower cost sharing and were more likely to use lower-cost drugs, but the largest effect of the CDHP was to reduce utilization. Employees in the second firm also reduced utilization, but did not shift the timing or use of low cost drugs.
Book Synopsis Factors for Selecting a Consumer Directed Health Care Plan by : David William Jordan
Download or read book Factors for Selecting a Consumer Directed Health Care Plan written by David William Jordan and published by . This book was released on 2013 with total page 212 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health Reimbursement Arrangements (HRAs) and Health Savings Account (HSA) eligible High Deductible Health Plans (HDHPs) emerged as a new health care insurance models referred to as Consumer Directed Health Plans (CDHPs) in the early 2000s. The purpose of this study is to examine the association between enrollees' prior financial experiences as they relate to health care access and use with plan choice when a Managed Care Preferred Provider Organization (PPO), HRA, and HSA eligible HDHP are offered concurrently in an ESI program. It is important to examine new health insurance structures, such as CDHPs, to better understand their impact on enrollees' choice of health plan. Factors that determine enrollees' plan choice can influence the distribution of socio-economic, health risk, and behavioral characteristics across plans. These factors in turn can affect the financial costs, risk pools, and long-term solvency of such plans. The theoretical framework used in this study is adapted from Andersen's behavioral model and suggests economic enabling resources, self-perceived need for health care, predisposing characteristics, and plan cost characteristics are significant factors in Managed Care verses CDHP choice. First, descriptive statistics are used to describe the enrollee population relative to available plans. Then, multivariate analyses are used to examine hypotheses developed to examine employee earnings, prior Flexible Spending Account (FSA) participation, prior total cost sharing and Relative Risk Scores (RRS). Findings suggest first that CDHPs benefit from favorable selection, however the type of CDHP is a critical factor in the dynamics of plan choice. It is important not to categorize different forms of HRAs and HSA eligible HDHPs generically as CDHPs, but treat them as unique based upon their cost and administrative characteristics. Second, enrollees appear to select a plan that minimizes their future financial exposure based on past ESI experiences. Finally, CDHP choice and enrollee earnings may not have a simple linear relationship as suggested by prior research. Plan choice may depend largely on the dynamics between factors of economic resources, perceived need, and plan cost characteristics.
Author :National Academies of Sciences, Engineering, and Medicine Publisher :National Academies Press ISBN 13 :0309445884 Total Pages :129 pages Book Rating :4.3/5 (94 download)
Book Synopsis Examining Access to Nutrition Care in Outpatient Cancer Centers by : National Academies of Sciences, Engineering, and Medicine
Download or read book Examining Access to Nutrition Care in Outpatient Cancer Centers written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2016-08-26 with total page 129 pages. Available in PDF, EPUB and Kindle. Book excerpt: An estimated 90 percent of oncology patients in the United States receive treatment in outpatient cancer centers and clinics. This change from the older model of inpatient care has important implications for overall quality of care for oncology patients and nutritional care in particular. Amidst growing concern about access to oncology nutrition services, combined with growing recognition of the importance of providing nutritional care to optimize oncology treatment outcomes and maximize quality of life among both patients and survivors of cancer, the National Academies of Sciences, Engineering, and Medicine convened a public workshop in March 2016 to explore evolving interactions between nutritional care, cancer, and health outcomes. Participants explored how health outcomes and survival of cancer patients in outpatient cancer centers are affected by current standards for nutritional services, nutritional interventions, and benefits associated with oncology patient access to medical nutrition therapy. They also studied the cost of outpatient nutritional care and assessed costâ€"benefit relationships between oncology nutrition services and health outcomes and survival. This publication summarizes the presentations and discussions from the workshop.
Book Synopsis Letting Go of the Status Quo by : Deloitte Development LLC
Download or read book Letting Go of the Status Quo written by Deloitte Development LLC and published by . This book was released on 2010 with total page 196 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Health Insurance and Managed Care by : Peter R. Kongstvedt
Download or read book Health Insurance and Managed Care written by Peter R. Kongstvedt and published by Jones & Bartlett Learning. This book was released on 2019-02-14 with total page 355 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health Insurance and Managed Care: What They Are and How They Work is a concise introduction to the workings of health insurance and managed care within the American health care system. Written in clear and accessible language, this text offers an historical overview of managed care before walking the reader through the organizational structures, concepts, and practices of the health insurance and managed care industry. The Fifth Edition is a thorough update that addresses the current status of The Patient Protection and Affordable Care Act (ACA), including political pressures that have been partially successful in implementing changes. This new edition also explores the changes in provider payment models and medical management methodologies that can affect managed care plans and health insurer.
Book Synopsis Hidden Costs, Value Lost by : Institute of Medicine
Download or read book Hidden Costs, Value Lost written by Institute of Medicine and published by National Academies Press. This book was released on 2003-06-19 with total page 212 pages. Available in PDF, EPUB and Kindle. Book excerpt: Hidden Cost, Value Lost, the fifth of a series of six books on the consequences of uninsurance in the United States, illustrates some of the economic and social losses to the country of maintaining so many people without health insurance. The book explores the potential economic and societal benefits that could be realized if everyone had health insurance on a continuous basis, as people over age 65 currently do with Medicare. Hidden Costs, Value Lost concludes that the estimated benefits across society in health years of life gained by providing the uninsured with the kind and amount of health services that the insured use, are likely greater than the additional social costs of doing so. The potential economic value to be gained in better health outcomes from uninterrupted coverage for all Americans is estimated to be between $65 and $130 billion each year.
Book Synopsis Consumer Directed Health Care by : Kim Slocum
Download or read book Consumer Directed Health Care written by Kim Slocum and published by CRC Press. This book was released on 2008-07-07 with total page 162 pages. Available in PDF, EPUB and Kindle. Book excerpt: With three decades of experience in a variety of healthcare, pharmaceutical, and biotechnology firms, respected healthcare consultant, Kim Slocum applies a uniquely broad viewpoint to the U.S. healthcare crisis. He discusses how the system has evolved and debunks various myths that continue to persist. Exploring potential solutions, he balances many diverse and conflicting factors, including the movement to make healthcare more patient-centered and the growing trend to transfer significant portions of financial risk to patients via high-deductibles. Slocum closes the book by discussing what a successful consumer-directed system might look like and what steps would be required to make it happen.
Book Synopsis Essentials of Managed Health Care by : Peter Reid Kongstvedt
Download or read book Essentials of Managed Health Care written by Peter Reid Kongstvedt and published by Jones & Bartlett Learning. This book was released on 2003 with total page 918 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis HealthConsuming by : Jane Sarasohn-Kahn
Download or read book HealthConsuming written by Jane Sarasohn-Kahn and published by . This book was released on 2019-05 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Health care costs are the top kitchen table issue facing most Americans. As people are morphing into health consumers, they seek Amazon-like experiences in health care. This book documents how Americans can become full health citizens through universal health care access, data privacy and personal control, investment in social determinants, digital tools, and health engagement.
