High-deductible health insurance plans: Efforts to sharpen A blunt instrument

Health Affairs

Volumn 28, Issue 4, 2009, Pages 1145-1153

  Reed, Mary ^a   Fung, Vicki ^a   Price, Mary ^a   Brand, Richard ^b   Benedetti, Nancy ^c   Derose, Stephen F ^d   Newhouse, Joseph P ^e,f,g   Hsu, John ^a  

^a DIVISION OF RESEARCH   (United States)

^b UNIVERSITY OF CALIFORNIA   (United States)

^c STANFORD UNIVERSITY SCHOOL OF MEDICINE   (United States)

^d Kaiser Permanente of Southern California ^*  (United States)

^e HARVARD MEDICAL SCHOOL   (United States)

^f HARVARD SCHOOL OF PUBLIC HEALTH   (United States)

^g HARVARD UNIVERSITY   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; EMERGENCY WARD; HEALTH CARE COST; HEALTH CARE PLANNING; HEALTH CARE SYSTEM; HEALTH INSURANCE; INTERVIEW; MEDICAL INFORMATION SYSTEM; REIMBURSEMENT; TELEPHONE;

CONSUMER SATISFACTION; DEDUCTIBLES AND COINSURANCE; HEALTH BENEFIT PLANS, EMPLOYEE; HEALTH CARE SURVEYS; HEALTH KNOWLEDGE, ATTITUDES, PRACTICE; HUMANS; INTERVIEWS AS TOPIC; MANAGED CARE PROGRAMS; PATIENT ACCEPTANCE OF HEALTH CARE; QUESTIONNAIRES; UNITED STATES;

EID: 67651227028     PISSN: 02782715     EISSN: 15445208     Source Type: Journal    
DOI: 10.1377/hlthaff.28.4.1145     Document Type: Article

References (32)

1. G. Claxton et al., "Health Benefits in 2006: Premium Increases Moderate, Enrollment in Consumer-Directed Health Plans Remains Modest," Health Affairs 25 (2006): w476-w485 (published online 26 September 2006; 10.1377/hlthaff.25.w476).
2. Ibid.;
3. and J.P. Newhouse, "Consumer-Directed Health Plans and the RAND Health Insurance Experiment," Health Affairs 23, no. 6 (2004): 107-113.
4. M.B. Buntin et al., "Consumer-Directed Health Care: Early Evidence about Effects on Cost and Quality," Health Affairs 25 (2006): w516-w530 (published online 24 October 2006; 10.1377/hlthaff.25.w516);
5. J. Hsu et al., "Cost-Sharing: Patient Knowledge and Effects on Seeking Emergency Department Care," Medical Care 42, no. 3 (2004): 290-296;
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8. K. Davis, "Consumer-Directed Health Care: A Panacea or the Wrong Prescription?" Physician Executive 32, no. 5 (2006): 12-16;
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10. E.B. Keeler and J.E. Rolph, "How Cost Sharing Reduced Medical Spending of Participants in the Health Insurance Experiment," Journal of the American Medical Association 249, no. 16 (1983): 2220-2227;
11. and K.N. Lohr et al., "Use of Medical Care in the RAND Health Insurance Experiment: Diagnosis- and Service-Specific Analyses in a Randomized Controlled Trial," Medical Care 24, no. 9 Supp. (1986): S1-S87.
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13. Hsu et al., "Cost-Sharing";
14. Marquis, "Consumers' Knowledge";
15. and Lohr et al., "Use of Medical Care."
16. Hsu et al., "Cost-Sharing";
17. J.F. Wharam et al., "Emergency Department Use and Subsequent Hospitalizations among Members of a High-Deductible Health Plan," Journal of the American Medical Association 297, no. 10 (2007): 1093-1102;
18. J.W. Rowe et al., "The Effect of Consumer-Directed Health Plans on the Use of Preventive and Chronic Illness Services," Health Affairs 27, no. 1 (2008): 113-120;
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22. The survey is available on request; send e-mail to mary.e.reed@kp.org
23. Claxton et al., "Health Benefits in 2006."
24. Mahajan and Brook, "High-Deductible Health Plans."
25. Wharam et al., "Emergency Department Use";
26. Rowe et al., "The Effect";
27. and Wharam et al., "Cancer Screening."
28. Grudzen and Brook, "High-Deductible Health Plans."
29. Mahajan and Brook, "High-Deductible Health Plans."
30. Newhouse, "Consumer-Directed Health Plans";
31. and T. Brennan and L. Reisman, "Value-Based Insurance Design and the Next Generation of Consumer-Driven Health Care," Health Affairs 26, no. 2 (2007): w204-w207 (published online 30 January 2007; 10.1377/hlthaff.26. 2.w204).
32. J. Hsu et al., "Unintended Consequences of Caps on Medicare Drug Benefits," New England Journal of Medicine 354, no. 22 (2006): 2349-2359.