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Do Consumer Directed Health Plans Bend The Cost Curve Over Time
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Book Synopsis Do “Consumer-Directed” Health Plans Bend the Cost Curve Over Time? by : Amelia M. Haviland
Download or read book Do “Consumer-Directed” Health Plans Bend the Cost Curve Over Time? written by Amelia M. Haviland and published by . This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Consumer-Directed" Health Plans (CDHPs) combine high deductibles with personal medical accounts and are intended to reduce health care spending through greater patient cost sharing. Prior research shows that CDHPs reduce spending in the first year. However, there is little research on the impact of CDHPs over the longer term. We add to this literature by using data from 13 million individuals in 54 large US firms to estimate the effects of a firm offering CDHPs on health care spending up to three years post offer. We use a difference-in-differences analysis and to further strengthen identification, we balance observables within firm, over time by developing weights through a machine learning algorithm. We find that spending is reduced for those in firms offering CDHPs in all three years post. The reductions are driven by spending decreases in outpatient care and pharmaceuticals, with no evidence of increases in emergency department or inpatient care.
Book Synopsis Do "Consumer-Directed" Health Plans Bend the Cost Curve Over Time? by : Amelia M. Haviland
Download or read book Do "Consumer-Directed" Health Plans Bend the Cost Curve Over Time? written by Amelia M. Haviland and published by . This book was released on 2015 with total page 53 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Consumer-Directed" Health Plans (CDHPs) combine high deductibles with personal medical accounts and are intended to reduce health care spending through greater patient cost sharing. Prior research shows that CDHPs reduce spending in the first year. However, there is little research on the impact of CDHPs over the longer term. We add to this literature by using data from 13 million individuals in 54 large US firms to estimate the effects of a firm offering CDHPs on health care spending up to three years post offer. We use a difference-in-differences analysis and to further strengthen identification, we balance observables within firm, over time by developing weights through a machine learning algorithm. We find that spending is reduced for those in firms offering CDHPs in all three years post. The reductions are driven by spending decreases in outpatient care and pharmaceuticals, with no evidence of increases in emergency department or inpatient care.
Book Synopsis Consumer-directed Health Plans by : Philip Ellis
Download or read book Consumer-directed Health Plans written by Philip Ellis and published by . This book was released on 2006 with total page 104 pages. Available in PDF, EPUB and Kindle. Book excerpt:
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 37 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.
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 ConsumerDirected Health Plans: Health Status, Spending, and Utilization of Enrollees in Plans Based on Health Reimbursement Arrangements by :
Download or read book ConsumerDirected Health Plans: Health Status, Spending, and Utilization of Enrollees in Plans Based on Health Reimbursement Arrangements written by and published by DIANE Publishing. This book was released on with total page 47 pages. Available in PDF, EPUB and Kindle. Book excerpt:
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.
Author :U. S. Department of Health and Human Services Publisher :CreateSpace ISBN 13 :9781491249888 Total Pages :60 pages Book Rating :4.2/5 (498 download)
Book Synopsis Consumer-Oriented Strategies for Improving Health Benefit Design by : U. S. Department of Health and Human Services
Download or read book Consumer-Oriented Strategies for Improving Health Benefit Design written by U. S. Department of Health and Human Services and published by CreateSpace. This book was released on 2013-07-31 with total page 60 pages. Available in PDF, EPUB and Kindle. Book excerpt: Responding to persistently rising health care costs and continuing concerns about the quality of health care, many health insurance purchasers have become interested in consumer-oriented strategies to improve health plan design that hold the promise of reducing health care costs and improving quality. While a number of specific activities fall within the general umbrella of consumer-oriented strategies, most of the recent developments in this area can be classified in three categories. Consumer directed health plans (CDHPs) are health insurance plans that use high deductibles coupled with personal health spending accounts to increase consumer accountability for health care spending. Tiered networks are health benefit structures that group providers into tiers based on their costs or quality, and reward consumers with favorable prices if they choose providers in higher quality or lower cost tiers. These strategies, which place greater financial responsibility on consumers for health care decision-making, can also be accompanied by initiatives to provide consumers with better information about the cost and quality of health care, including, for example, information about the quality of health care providers, to enable them to make more informed decisions. While these three strategies have been increasingly discussed, there remains little consensus about their likely impacts on the health care system or how purchasers can most effectively use these strategies, either alone or in combination, to achieve the goals of reducing costs and improving quality. Over the past several years, several studies and reviews have been published that appear to offer some insight into how consumer-oriented strategies can affect the provision of care, costs, and outcomes. However, many of these studies have examined narrow ranges of consumer oriented strategies and often do so in a very tightly focused setting such as a single employer. A synthesis of the existing literature may be able to provide valuable information about the potential for consumer-oriented strategies to bring about beneficial outcomes in health care. Discussion concerning the relative newness of the topic and the possibility of limited scope of literature prompted the decision to conduct an initial exploratory analysis and draft a feasibility report, with the goal of developing a foundation for further evidence review work in this area. AHRQ further determined that this initial analysis should address three issues. First, a conceptual framework should be developed that identifies important factors determining the impacts of consumer-oriented strategies, within which questions about the impacts of consumer oriented strategies on health care utilization, costs, and quality can be addressed. Second, a review of published, peer-reviewed literature on CDHPs should be conducted. Several guiding questions were identified: What are prevalence rates and expected trends for CDHPs? What is the evidence on the effect of CDHPs on quality improvement or lack of improvement? What is the evidence that CDHPs affect utilization of health care services, including doctors visits, ER visits, medications, and diagnostic tests? Is there evidence to determine whether effects on utilization are necessary vs. unnecessary services? What is the evidence that CDHPs discourage access to appropriate care? Is there evidence that effects of CDHPs on utilization vary depending on the underlying health status, income or education of individuals? What is the evidence that CDHPs reduce health care expenditures? Third, preliminary evidence should be gathered about the ability of the literature on tiered networks and provider quality collection and dissemination to support further productive evidence review.
Book Synopsis The Effects of Consumer-directed Health Plans on Health Care Spending by : Anthony T. Lo Sasso
Download or read book The Effects of Consumer-directed Health Plans on Health Care Spending written by Anthony T. Lo Sasso and published by . This book was released on 2009 with total page 28 pages. Available in PDF, EPUB and Kindle. Book excerpt: We use unique data from an insurer that exclusively offers high-deductible, "consumer-directed" health plans to identify the effect of plan features, notably the spending account, on health care spending. Our results show that the marginal dollar in the spending account is entirely spent on outpatient and pharmacy services. In contrast, inpatient and out-of-pocket spending were not responsive to the amount in the spending account. Our results represent the first plausibly causal estimates of the components of consumer-driven health plans on health spending. The magnitudes of the effects suggest important moral hazard consequences to higher spending account levels.
Download or read book Consumer-directed Health Plans written by and published by . This book was released on 2004 with total page 56 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Effect of Consumer Directed Health Plan Enrollment on Healthcare Expenditure and Service Utilization by : Ruchira Mahashabde
Download or read book Effect of Consumer Directed Health Plan Enrollment on Healthcare Expenditure and Service Utilization written by Ruchira Mahashabde and published by . This book was released on 2018 with total page 37 pages. Available in PDF, EPUB and Kindle. Book excerpt: Objective: To investigate the effects of High Deductible Health Plans paired with a Health Savings Account on the healthcare expenditure and health services utilization. Methods: Data from the 2014 and 2015 Medical Expenditure Panel Survey was analyzed. Subjects enrolled in a Consumer Directed Health Plan (CDHP) were compared with subjects enrolled in non-CDHP after matching. A Chi-square analysis was conducted to assess frequency distribution of subjects in the treatment group as compared to the control. The control group was weighted using propensity score weights to match treatment group. The difference in the healthcare expenditures between the two groups was estimated using a Wilcoxon sign rank test and independent sample t-test. The effect of CDHP enrollment on health services utilization was estimated using a regression model. Results: The total sample population was 2132. The CDHP group was found to have a higher proportion of White, Non-Hispanics with high level of education and high family income as compared to the control group. A significant difference was found between the out-of-pocket costs (OOP) (p=0.0004) and the overall healthcare expenditure (p=0.0119) with the CDHP group having higher costs. There was no significant association between low or high use of health services. Conclusion: The findings suggest that CDHPs might not be fulfilling their required goal of reducing healthcare expenditure as well use of unnecessary care.
Book Synopsis Consumer-Directed Health Care Early Evidence Shows Lower Costs, Mixed Effects on Quality of Care by :
Download or read book Consumer-Directed Health Care Early Evidence Shows Lower Costs, Mixed Effects on Quality of Care written by and published by . This book was released on 2007 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This research brief summarizes research on the effect of enrollment in consumer-directed health care (involving plans with high deductibles -- $1,000 or more annually) on the use, cost, and quality of medical care.
Book Synopsis Demand for High-Deductible and 'Consumer-Directed' Health Plans by : Melinda Beeuwkes Buntin
Download or read book Demand for High-Deductible and 'Consumer-Directed' Health Plans written by Melinda Beeuwkes Buntin and published by . This book was released on 2007 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Enrollment in "consumer-directed" health insurance plans - plans with high deductibles that are frequently coupled with personal savings accounts - has soared over the past four years and now exceeds 5 million. Approximately a third of firms offering health insurance benefits now offer a high-deductible plan and another third say they are interested in doing so. At the same time, prior studies have found that consumers prefer low-deductible plans, say they are willing to pay a premium for them, and are less satisfied when enrolled in high-deductible plans. This paper explores the determinants of enrollment in consumer-directed plans using data from a survey of 40 employers offering high-deductible plans. The sample of employers was stratified by the level of the deductible, the type of account offered (if any), and level of employer contributions to the account. The survey asks the employers for detailed information about their plan offerings, plan benefit designs, and enrollment levels; this includes information about both their consumer-directed option and any traditional HMOs or PPOs they may offer. It also asks about their consumer-directed plan implementation strategy and about resources available to help employees choose the best plan for them. We explored the factors associated with higher levels of enrollment when consumer-directed plans are offered alongside other options. These included three types of variables motivated by economic theory: 1) financial variables including plan benefit design elements such as deductible levels and employer contributions towards accounts; 2) behavioral variables such as requiring employees to make a proactive choice of plan each year; 3) information provision through employee communications. We find that factors within all three types of variables are important predictors of enrollment levels. We interpret our results about enrollment elasticities cautiously given our sample size, but do discuss the relative magnitudes of these effects and their implications.
Author :United States Government Accountability Office Publisher :Createspace Independent Publishing Platform ISBN 13 :9781984302670 Total Pages :38 pages Book Rating :4.3/5 (26 download)
Book Synopsis Gao-06-514 - Consumer-directed Health Plans by : United States Government Accountability Office
Download or read book Gao-06-514 - Consumer-directed Health Plans written by United States Government Accountability Office and published by Createspace Independent Publishing Platform. This book was released on 2018-01-28 with total page 38 pages. Available in PDF, EPUB and Kindle. Book excerpt: GAO-06-514 Consumer-Directed Health Plans: Small but Growing Enrollment Fueled by Rising Cost of Health Care Coverage
Download or read book Consumer-Directed Health Plans written by and published by . This book was released on with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health plans have expanded consumer-directed health plan (CDHP) product offeringsâ€"typically high-deductible health plans coupled with a spending accountâ€"and more employers are offering these products to workers, according to findings from the Center for Studying Health System Change's (HSC) 2007 site visits to 12 nationally representative metropolitan communities. [BREAK] In developing CDHPs, health plans are responding to a broader employer strategy to confer more responsibility on workers for their health care costs, lifestyle choices and treatment decisions. CDHP adoption by employers and consumers depends on a range of factors, including product features and employer characteristics, and varies across the 12 communities. While more large employers are introducing CDHPs into health benefit programs, adoption of CDHPs remains modest. Health plans and employers expect CDHP enrollment to grow as employers and employees become more knowledgeable about CDHP features, health plans develop more sophisticated support tools for plan enrollees, and there are more opportunities to learn from early adopters' experiences.
Book Synopsis Consumer Directed Healthcare by : Eunice P. Parkes
Download or read book Consumer Directed Healthcare written by Eunice P. Parkes and published by . This book was released on 2005 with total page 50 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Decision Making in Consumer-directed Health Plans by : Judith Hoffman Hibbard
Download or read book Decision Making in Consumer-directed Health Plans written by Judith Hoffman Hibbard and published by . This book was released on 2003 with total page 84 pages. Available in PDF, EPUB and Kindle. Book excerpt:
