Effects of health savings account-eligible plans on utilization and expenditures

American Journal of Managed Care

Volumn 17, Issue 1, 2011, Pages 79-86

  Charlton, Mary E ^a,b   Levy, Barcey T ^c   High, Robin R ^d   Schneider, John E ^e   Brooks, John M ^b  

^a VETERANS AFFAIRS MEDICAL CENTER   (United States)

^b UNIVERSITY OF IOWA   (United States)

^c UNIVERSITY OF IOWA   (United States)

^d UNIVERSITY OF NEBRASKA MEDICAL CENTER   (United States)

^e ICON PLC   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

DRUG;

ADULT; AMBULATORY CARE; ARTICLE; CANCER SCREENING; CONTROLLED STUDY; DRUG COST; EMERGENCY WARD; EMPLOYER; FEMALE; GEOGRAPHY; HEALTH CARE COST; HEALTH CARE FACILITY; HEALTH CARE PLANNING; HEALTH CARE UTILIZATION; HEALTH INSURANCE; HEALTH SAVINGS ACCOUNT; HOSPITAL ADMISSION; HUMAN; MALE; MAMMOGRAPHY; OUTPATIENT CARE; PAPANICOLAOU TEST; PERIODIC MEDICAL EXAMINATION; PHARMACY; PHYSICAL EXAMINATION; PREVENTIVE HEALTH SERVICE; PRIORITY JOURNAL; RETROSPECTIVE STUDY;

ADULT; AGE FACTORS; COMPETITIVE MEDICAL PLANS; DATABASES, FACTUAL; FEMALE; HEALTH EXPENDITURES; HEALTH MAINTENANCE ORGANIZATIONS; HEALTH RESOURCES; HUMANS; MALE; MEDICAL SAVINGS ACCOUNTS; MIDDLE AGED; MULTIVARIATE ANALYSIS; PREFERRED PROVIDER ORGANIZATIONS; RETROSPECTIVE STUDIES; RISK ASSESSMENT; UNITED STATES;

EID: 79951936153     PISSN: 10880224     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (22)

1. Yoo H. January 2009 Census Shows 8 Million People Covered by HSA/ High-Deductible Health Plan. Washington, DC: America's Health Insurance Plans, Center for Policy and Research; 2009.
2. Kaiser Family Foundation. Employer Health Benefits: 2007 Annual Survey. Menlo Park, CA: Henry J. Kaiser Family Foundation; 2007.
3. Agrawal V, Ehrbeck T, Packard KO, Mango P. Consumer-Directed Health Plan Report - Early Evidence Is Promising. Pittsburgh, PA: McKinsey & Company; 2005.
4. Parente ST, Feldman R, Christiansen JB. Evaluation of the effect of a consumer-driven health plan on medical care expenditures and utilization. Health Serv Res. 2004;39(4 pt 2):1189-1210.
5. Wilson AR, Bargman EP, Pederson D, et al. More preventive care, and fewer emergency room visits and prescription drugs: health care utilization in a consumer-driven health plan. Benefits Q. 2008;24(1):46-54.
6. Aetna. Five-year study of 1.6 million Aetna members proves that sustained savings are possible through appropriate mix of culture change, education and benefits design [press release]. January 31, 2008. http://www.aetna.com/news/ newsReleases/2008/0131.html. Accessed November 29, 2010.
7. Wharam JF, Galbraith AA, Kleinman KP, Soumerai SB, Ross-Degnan D, Landon BE. Cancer screening before and after switching to a high-deductible health plan. Ann Intern Med. 2008;148(9):647-655. (Pubitemid 351669109)
8. Rowe JW, Brown-Stevenson T, Downey RL, Newhouse JP. The effect of consumer-directed health plans on the use of preventive and chronic illness services. Health Aff (Millwood). 2008;27(1):113-120. (Pubitemid 351198594)
9. Fronstin P, Collins SR. The 2nd Annual EBRI/Commonwealth Fund Consumerism in Health Care Survey, 2006: Early Experience With High-Deductible and Consumer-Driven Health Plans. Issue Brief 300. Washington, DC: Employee Benefit Research Institute; December 2006. http://www.ebri.org/publications/ib/index. cfm?fa=ibDisp&content- id=3769. Accessed November 29, 2010.
10. Cigna. Cigna Choice Fund Experience Study. December 2009. http://newsroom.cigna.com/images/56/1209-CIGNA%20ChoiceFund- Study.pdf. Accessed December 20, 2009.
11. Ingenix. Episode Risk Groups: ERG Users Guide. 2007. Eden Prairie, MN: Ingenix; 2001.
12. Cumming RB, Knutson D, Cameron BA, Derrick B. A Comparative Analysis of Claims-Based Methods of Health Risk Assessment for Commercial Populations. A Research Study Sponsored by the Society of Actuaries. Schaumburg, IL: Society of Actuaries; 2002.
13. SAS Institute. SAS software version 9.2. Cary, NC: SAS Institute, Inc; 2007.
14. Allison PD. Fixed Effects Regression Methods for Longitudinal Data Using SAS®. Cary, NC: SAS Institute, Inc; 2005.
15. Newhouse JP, Manning WG, Morris CN, et al. Some interim results from a controlled trial of cost sharing in health insurance. N Engl J Med. 1981;305(25):1501-1507. (Pubitemid 12244205)
16. Solanki G, Schauffler HH. Cost-sharing and the utilization of clinical preventive services. Am J Prev Med. 1999;17(2):127-133. (Pubitemid 29354152)
17. Solanki G, Schauffler HH, Miller LS. The direct and indirect effects of cost-sharing on the use of preventive services. Health Serv Res. 2000;34(6):1331-1350. (Pubitemid 30075413)
18. Blustein J. Medicare coverage, supplemental insurance, and the use of mammography by older women. N Engl J Med. 1995;332(17): 1138-1143.
19. Trivedi AN, Rakowski W, Ayanian JZ. Effect of cost sharing on screening mammography in Medicare health plans. N Engl J Med. 2008;358(4):375-383. (Pubitemid 351159237)
20. Varghese RK, Frieman C, Ahmed F, Franks AL, Manning M, Seeff LC. Does health insurance coverage of office visits influence colorectal cancer testing? Cancer Epidemiol Biomarkers Prev. 2005;14(3):744-747.
21. Ramthun R. Health savings accounts and preventive care. The Council for Affordable Health Insurance's Issues & Answers. April 2009. No. 153. http://www.cahi.org/cahi-contents/resources/pdf/ n153HSAPreventiveCare.pdf. Accessed August 15, 2009.
22. Fendrick AM, Chemew ME. Value-based insurance design: a "clinically sensitive, fiscally responsible" approach to mitigate the adverse clinical effects of high-deductible consumer-directed health plans. J Gen Intern Med. 2007;22(6):890-891. (Pubitemid 46763983)