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The long term effects of 'Consumer-Directed' health plans on preventive care use

机译：“以消费者为导向”的健康计划对预防保健的长期影响

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摘要

"Consumer-Directed" Health Plans (CDHPs), those with high deductibles and personal medical accounts, have been shown to reduce health care spending. The impact of CDHPs on preventive care is unclear. On the one hand CDHPs might increase use of preventive care as such care is exempt from the deductible. However, CDHPs also decrease visits to physicians which might results in less screening. Prior research has found conflicting results. In this study, using data from 37 employers we examine the effects of CDHPs on the use of cancer screenings up to three years after the initial CDHP offering with ITT and LATE approaches. Being offered a CDHP or enrolling in a CDHP had little or no effect on cancer screening rates but individuals increase screenings prior to enrolling in a CDHP. Our findings suggest the importance of examining CDHP effects on periodic care over the longer -term and carefully controlling for anticipatory stockpiling. (C)2017 Elsevier B.V. All rights reserved.
机译：具有高免赔额和个人医疗账户的“以消费者为导向”的健康计划（CDHP）已被证明可以减少医疗保健支出。 CDHP对预防保健的影响尚不清楚。一方面，CDHP可能会增加预防性护理的使用，因为这种护理免于免赔额。但是，CDHP也会减少对医生的就诊，这可能会减少筛查。先前的研究发现矛盾的结果。在这项研究中，我们使用来自37个雇主的数据，研究了CDHP在使用ITT和LATE方法提供CDHP最初的三年之后，对癌症筛查的影响。提供CDHP或参加CDHP对癌症筛查率影响很小或没有影响，但是个人在加入CDHP之前会增加筛查。我们的发现表明，检查CDHP对长期定期护理的影响以及仔细控制预期库存的重要性。 （C）2017 Elsevier B.V.保留所有权利。

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  • 来源
    《Journal of health economics》 |2017年第9期|61-75|共15页
  • 作者

    Eisenberg Matthew D.; Haviland Amelia M.; Mehrotra Ateev; Huckfeldt Peter J.; Sood Neeraj;

  • 作者单位

    Johns Hopkins Univ, 624 N Broadway,Room 406, Baltimore, MD 21205 USA;

    Carnegie Mellon Univ, 5000 Forbes Ave, Pittsburgh, PA 15213 USA|RAND, 4570 Fifth Ave,Suite 600, Pittsburgh, PA 15213 USA;

    Harvard Med Sch, 25 Shattuck St, Boston, MA 02115 USA|RAND, 20 Pk Plaza,9th Floor Suite 920, Boston, MA 02116 USA;

    Univ Minnesota, 420 Delaware St, Minneapolis, MN 55455 USA;

    Univ Southern Calif, 635 Downey Way, Los Angeles, CA 90089 USA|NBER, Cambridge, MA 02138 USA;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

    High deductible health plans; Preventive care;

    机译：高扣除额的健康计划;预防保健;

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