Do “Consumer-Directed” health plans bend the cost curve over time?
“Consumer-Directed” Health Plans (CDHPs), those with high deductibles and personal medical accounts, are intended to reduce health care spending through greater patient cost exposure. Prior research agrees that in the first year, CDHPs reduce spending. There is little research and in it results are...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Haviland, Amelia M. [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2016transfer abstract |
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| Schlagwörter: |
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| Umfang: |
19 |
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| Übergeordnetes Werk: |
Enthalten in: Prediction of gas concentration evolution with evolutionary attention-based temporal graph convolutional network - Cheng, Lei ELSEVIER, 2022, Amsterdam |
|---|---|
| Übergeordnetes Werk: |
volume:46 ; year:2016 ; pages:33-51 ; extent:19 |
| Links: |
|---|
| DOI / URN: |
10.1016/j.jhealeco.2016.01.001 |
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| Katalog-ID: |
ELV035152648 |
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| 520 | |a “Consumer-Directed” Health Plans (CDHPs), those with high deductibles and personal medical accounts, are intended to reduce health care spending through greater patient cost exposure. Prior research agrees that in the first year, CDHPs reduce spending. There is little research and in it results are mixed regarding the impact of CDHPs over the longer term. We add to this literature with an intent-to-treat, difference-in-differences analysis of health care spending over up to three years post CDHP offer among 13 million person-years of data from 54 large US firms, half of which offered CDHPs. To strengthen the identification, we balance observables over time within firm, by developing weights through a machine learning algorithm, generalized boosted regression. We find that spending is reduced for those in firms offering CDHPs in all three years post offer relative to firms continuing to offer lower-deductible plans. The reductions are driven by spending decreases in outpatient care and pharmaceuticals, with no evidence of increases in emergency department or inpatient care over the three-year window. | ||
| 520 | |a “Consumer-Directed” Health Plans (CDHPs), those with high deductibles and personal medical accounts, are intended to reduce health care spending through greater patient cost exposure. Prior research agrees that in the first year, CDHPs reduce spending. There is little research and in it results are mixed regarding the impact of CDHPs over the longer term. We add to this literature with an intent-to-treat, difference-in-differences analysis of health care spending over up to three years post CDHP offer among 13 million person-years of data from 54 large US firms, half of which offered CDHPs. To strengthen the identification, we balance observables over time within firm, by developing weights through a machine learning algorithm, generalized boosted regression. We find that spending is reduced for those in firms offering CDHPs in all three years post offer relative to firms continuing to offer lower-deductible plans. The reductions are driven by spending decreases in outpatient care and pharmaceuticals, with no evidence of increases in emergency department or inpatient care over the three-year window. | ||
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10.1016/j.jhealeco.2016.01.001 doi GBVA2016006000002.pica (DE-627)ELV035152648 (ELSEVIER)S0167-6296(16)00002-3 DE-627 ger DE-627 rakwb eng 610 610 DNB 004 VZ 54.72 bkl Haviland, Amelia M. verfasserin aut Do “Consumer-Directed” health plans bend the cost curve over time? 2016transfer abstract 19 nicht spezifiziert zzz rdacontent nicht spezifiziert z rdamedia nicht spezifiziert zu rdacarrier “Consumer-Directed” Health Plans (CDHPs), those with high deductibles and personal medical accounts, are intended to reduce health care spending through greater patient cost exposure. Prior research agrees that in the first year, CDHPs reduce spending. There is little research and in it results are mixed regarding the impact of CDHPs over the longer term. We add to this literature with an intent-to-treat, difference-in-differences analysis of health care spending over up to three years post CDHP offer among 13 million person-years of data from 54 large US firms, half of which offered CDHPs. To strengthen the identification, we balance observables over time within firm, by developing weights through a machine learning algorithm, generalized boosted regression. We find that spending is reduced for those in firms offering CDHPs in all three years post offer relative to firms continuing to offer lower-deductible plans. The reductions are driven by spending decreases in outpatient care and pharmaceuticals, with no evidence of increases in emergency department or inpatient care over the three-year window. “Consumer-Directed” Health Plans (CDHPs), those with high deductibles and personal medical accounts, are intended to reduce health care spending through greater patient cost exposure. Prior research agrees that in the first year, CDHPs reduce spending. There is little research and in it results are mixed regarding the impact of CDHPs over the longer term. We add to this literature with an intent-to-treat, difference-in-differences analysis of health care spending over up to three years post CDHP offer among 13 million person-years of data from 54 large US firms, half of which offered CDHPs. To strengthen the identification, we balance observables over time within firm, by developing weights through a machine learning algorithm, generalized boosted regression. We find that spending is reduced for those in firms offering CDHPs in all three years post offer relative to firms continuing to offer lower-deductible plans. The reductions are driven by spending decreases in outpatient care and pharmaceuticals, with no evidence of increases in emergency department or inpatient care over the three-year window. Health care cost trends Elsevier High deductible health plans Elsevier Eisenberg, Matthew D. oth Mehrotra, Ateev oth Huckfeldt, Peter J. oth Sood, Neeraj oth Enthalten in North-Holland Publ. Co Cheng, Lei ELSEVIER Prediction of gas concentration evolution with evolutionary attention-based temporal graph convolutional network 2022 Amsterdam (DE-627)ELV007813643 volume:46 year:2016 pages:33-51 extent:19 https://doi.org/10.1016/j.jhealeco.2016.01.001 Volltext GBV_USEFLAG_U GBV_ELV SYSFLAG_U 54.72 Künstliche Intelligenz VZ AR 46 2016 33-51 19 045F 610 |
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10.1016/j.jhealeco.2016.01.001 doi GBVA2016006000002.pica (DE-627)ELV035152648 (ELSEVIER)S0167-6296(16)00002-3 DE-627 ger DE-627 rakwb eng 610 610 DNB 004 VZ 54.72 bkl Haviland, Amelia M. verfasserin aut Do “Consumer-Directed” health plans bend the cost curve over time? 2016transfer abstract 19 nicht spezifiziert zzz rdacontent nicht spezifiziert z rdamedia nicht spezifiziert zu rdacarrier “Consumer-Directed” Health Plans (CDHPs), those with high deductibles and personal medical accounts, are intended to reduce health care spending through greater patient cost exposure. Prior research agrees that in the first year, CDHPs reduce spending. There is little research and in it results are mixed regarding the impact of CDHPs over the longer term. We add to this literature with an intent-to-treat, difference-in-differences analysis of health care spending over up to three years post CDHP offer among 13 million person-years of data from 54 large US firms, half of which offered CDHPs. To strengthen the identification, we balance observables over time within firm, by developing weights through a machine learning algorithm, generalized boosted regression. We find that spending is reduced for those in firms offering CDHPs in all three years post offer relative to firms continuing to offer lower-deductible plans. The reductions are driven by spending decreases in outpatient care and pharmaceuticals, with no evidence of increases in emergency department or inpatient care over the three-year window. “Consumer-Directed” Health Plans (CDHPs), those with high deductibles and personal medical accounts, are intended to reduce health care spending through greater patient cost exposure. Prior research agrees that in the first year, CDHPs reduce spending. There is little research and in it results are mixed regarding the impact of CDHPs over the longer term. We add to this literature with an intent-to-treat, difference-in-differences analysis of health care spending over up to three years post CDHP offer among 13 million person-years of data from 54 large US firms, half of which offered CDHPs. To strengthen the identification, we balance observables over time within firm, by developing weights through a machine learning algorithm, generalized boosted regression. We find that spending is reduced for those in firms offering CDHPs in all three years post offer relative to firms continuing to offer lower-deductible plans. The reductions are driven by spending decreases in outpatient care and pharmaceuticals, with no evidence of increases in emergency department or inpatient care over the three-year window. Health care cost trends Elsevier High deductible health plans Elsevier Eisenberg, Matthew D. oth Mehrotra, Ateev oth Huckfeldt, Peter J. oth Sood, Neeraj oth Enthalten in North-Holland Publ. Co Cheng, Lei ELSEVIER Prediction of gas concentration evolution with evolutionary attention-based temporal graph convolutional network 2022 Amsterdam (DE-627)ELV007813643 volume:46 year:2016 pages:33-51 extent:19 https://doi.org/10.1016/j.jhealeco.2016.01.001 Volltext GBV_USEFLAG_U GBV_ELV SYSFLAG_U 54.72 Künstliche Intelligenz VZ AR 46 2016 33-51 19 045F 610 |
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10.1016/j.jhealeco.2016.01.001 doi GBVA2016006000002.pica (DE-627)ELV035152648 (ELSEVIER)S0167-6296(16)00002-3 DE-627 ger DE-627 rakwb eng 610 610 DNB 004 VZ 54.72 bkl Haviland, Amelia M. verfasserin aut Do “Consumer-Directed” health plans bend the cost curve over time? 2016transfer abstract 19 nicht spezifiziert zzz rdacontent nicht spezifiziert z rdamedia nicht spezifiziert zu rdacarrier “Consumer-Directed” Health Plans (CDHPs), those with high deductibles and personal medical accounts, are intended to reduce health care spending through greater patient cost exposure. Prior research agrees that in the first year, CDHPs reduce spending. There is little research and in it results are mixed regarding the impact of CDHPs over the longer term. We add to this literature with an intent-to-treat, difference-in-differences analysis of health care spending over up to three years post CDHP offer among 13 million person-years of data from 54 large US firms, half of which offered CDHPs. To strengthen the identification, we balance observables over time within firm, by developing weights through a machine learning algorithm, generalized boosted regression. We find that spending is reduced for those in firms offering CDHPs in all three years post offer relative to firms continuing to offer lower-deductible plans. The reductions are driven by spending decreases in outpatient care and pharmaceuticals, with no evidence of increases in emergency department or inpatient care over the three-year window. “Consumer-Directed” Health Plans (CDHPs), those with high deductibles and personal medical accounts, are intended to reduce health care spending through greater patient cost exposure. Prior research agrees that in the first year, CDHPs reduce spending. There is little research and in it results are mixed regarding the impact of CDHPs over the longer term. We add to this literature with an intent-to-treat, difference-in-differences analysis of health care spending over up to three years post CDHP offer among 13 million person-years of data from 54 large US firms, half of which offered CDHPs. To strengthen the identification, we balance observables over time within firm, by developing weights through a machine learning algorithm, generalized boosted regression. We find that spending is reduced for those in firms offering CDHPs in all three years post offer relative to firms continuing to offer lower-deductible plans. The reductions are driven by spending decreases in outpatient care and pharmaceuticals, with no evidence of increases in emergency department or inpatient care over the three-year window. Health care cost trends Elsevier High deductible health plans Elsevier Eisenberg, Matthew D. oth Mehrotra, Ateev oth Huckfeldt, Peter J. oth Sood, Neeraj oth Enthalten in North-Holland Publ. Co Cheng, Lei ELSEVIER Prediction of gas concentration evolution with evolutionary attention-based temporal graph convolutional network 2022 Amsterdam (DE-627)ELV007813643 volume:46 year:2016 pages:33-51 extent:19 https://doi.org/10.1016/j.jhealeco.2016.01.001 Volltext GBV_USEFLAG_U GBV_ELV SYSFLAG_U 54.72 Künstliche Intelligenz VZ AR 46 2016 33-51 19 045F 610 |
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10.1016/j.jhealeco.2016.01.001 doi GBVA2016006000002.pica (DE-627)ELV035152648 (ELSEVIER)S0167-6296(16)00002-3 DE-627 ger DE-627 rakwb eng 610 610 DNB 004 VZ 54.72 bkl Haviland, Amelia M. verfasserin aut Do “Consumer-Directed” health plans bend the cost curve over time? 2016transfer abstract 19 nicht spezifiziert zzz rdacontent nicht spezifiziert z rdamedia nicht spezifiziert zu rdacarrier “Consumer-Directed” Health Plans (CDHPs), those with high deductibles and personal medical accounts, are intended to reduce health care spending through greater patient cost exposure. Prior research agrees that in the first year, CDHPs reduce spending. There is little research and in it results are mixed regarding the impact of CDHPs over the longer term. We add to this literature with an intent-to-treat, difference-in-differences analysis of health care spending over up to three years post CDHP offer among 13 million person-years of data from 54 large US firms, half of which offered CDHPs. To strengthen the identification, we balance observables over time within firm, by developing weights through a machine learning algorithm, generalized boosted regression. We find that spending is reduced for those in firms offering CDHPs in all three years post offer relative to firms continuing to offer lower-deductible plans. The reductions are driven by spending decreases in outpatient care and pharmaceuticals, with no evidence of increases in emergency department or inpatient care over the three-year window. “Consumer-Directed” Health Plans (CDHPs), those with high deductibles and personal medical accounts, are intended to reduce health care spending through greater patient cost exposure. Prior research agrees that in the first year, CDHPs reduce spending. There is little research and in it results are mixed regarding the impact of CDHPs over the longer term. We add to this literature with an intent-to-treat, difference-in-differences analysis of health care spending over up to three years post CDHP offer among 13 million person-years of data from 54 large US firms, half of which offered CDHPs. To strengthen the identification, we balance observables over time within firm, by developing weights through a machine learning algorithm, generalized boosted regression. We find that spending is reduced for those in firms offering CDHPs in all three years post offer relative to firms continuing to offer lower-deductible plans. The reductions are driven by spending decreases in outpatient care and pharmaceuticals, with no evidence of increases in emergency department or inpatient care over the three-year window. Health care cost trends Elsevier High deductible health plans Elsevier Eisenberg, Matthew D. oth Mehrotra, Ateev oth Huckfeldt, Peter J. oth Sood, Neeraj oth Enthalten in North-Holland Publ. Co Cheng, Lei ELSEVIER Prediction of gas concentration evolution with evolutionary attention-based temporal graph convolutional network 2022 Amsterdam (DE-627)ELV007813643 volume:46 year:2016 pages:33-51 extent:19 https://doi.org/10.1016/j.jhealeco.2016.01.001 Volltext GBV_USEFLAG_U GBV_ELV SYSFLAG_U 54.72 Künstliche Intelligenz VZ AR 46 2016 33-51 19 045F 610 |
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10.1016/j.jhealeco.2016.01.001 doi GBVA2016006000002.pica (DE-627)ELV035152648 (ELSEVIER)S0167-6296(16)00002-3 DE-627 ger DE-627 rakwb eng 610 610 DNB 004 VZ 54.72 bkl Haviland, Amelia M. verfasserin aut Do “Consumer-Directed” health plans bend the cost curve over time? 2016transfer abstract 19 nicht spezifiziert zzz rdacontent nicht spezifiziert z rdamedia nicht spezifiziert zu rdacarrier “Consumer-Directed” Health Plans (CDHPs), those with high deductibles and personal medical accounts, are intended to reduce health care spending through greater patient cost exposure. Prior research agrees that in the first year, CDHPs reduce spending. There is little research and in it results are mixed regarding the impact of CDHPs over the longer term. We add to this literature with an intent-to-treat, difference-in-differences analysis of health care spending over up to three years post CDHP offer among 13 million person-years of data from 54 large US firms, half of which offered CDHPs. To strengthen the identification, we balance observables over time within firm, by developing weights through a machine learning algorithm, generalized boosted regression. We find that spending is reduced for those in firms offering CDHPs in all three years post offer relative to firms continuing to offer lower-deductible plans. The reductions are driven by spending decreases in outpatient care and pharmaceuticals, with no evidence of increases in emergency department or inpatient care over the three-year window. “Consumer-Directed” Health Plans (CDHPs), those with high deductibles and personal medical accounts, are intended to reduce health care spending through greater patient cost exposure. Prior research agrees that in the first year, CDHPs reduce spending. There is little research and in it results are mixed regarding the impact of CDHPs over the longer term. We add to this literature with an intent-to-treat, difference-in-differences analysis of health care spending over up to three years post CDHP offer among 13 million person-years of data from 54 large US firms, half of which offered CDHPs. To strengthen the identification, we balance observables over time within firm, by developing weights through a machine learning algorithm, generalized boosted regression. We find that spending is reduced for those in firms offering CDHPs in all three years post offer relative to firms continuing to offer lower-deductible plans. The reductions are driven by spending decreases in outpatient care and pharmaceuticals, with no evidence of increases in emergency department or inpatient care over the three-year window. Health care cost trends Elsevier High deductible health plans Elsevier Eisenberg, Matthew D. oth Mehrotra, Ateev oth Huckfeldt, Peter J. oth Sood, Neeraj oth Enthalten in North-Holland Publ. Co Cheng, Lei ELSEVIER Prediction of gas concentration evolution with evolutionary attention-based temporal graph convolutional network 2022 Amsterdam (DE-627)ELV007813643 volume:46 year:2016 pages:33-51 extent:19 https://doi.org/10.1016/j.jhealeco.2016.01.001 Volltext GBV_USEFLAG_U GBV_ELV SYSFLAG_U 54.72 Künstliche Intelligenz VZ AR 46 2016 33-51 19 045F 610 |
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Prediction of gas concentration evolution with evolutionary attention-based temporal graph convolutional network |
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Do “Consumer-Directed” health plans bend the cost curve over time? |
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“Consumer-Directed” Health Plans (CDHPs), those with high deductibles and personal medical accounts, are intended to reduce health care spending through greater patient cost exposure. Prior research agrees that in the first year, CDHPs reduce spending. There is little research and in it results are mixed regarding the impact of CDHPs over the longer term. We add to this literature with an intent-to-treat, difference-in-differences analysis of health care spending over up to three years post CDHP offer among 13 million person-years of data from 54 large US firms, half of which offered CDHPs. To strengthen the identification, we balance observables over time within firm, by developing weights through a machine learning algorithm, generalized boosted regression. We find that spending is reduced for those in firms offering CDHPs in all three years post offer relative to firms continuing to offer lower-deductible plans. The reductions are driven by spending decreases in outpatient care and pharmaceuticals, with no evidence of increases in emergency department or inpatient care over the three-year window. |
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“Consumer-Directed” Health Plans (CDHPs), those with high deductibles and personal medical accounts, are intended to reduce health care spending through greater patient cost exposure. Prior research agrees that in the first year, CDHPs reduce spending. There is little research and in it results are mixed regarding the impact of CDHPs over the longer term. We add to this literature with an intent-to-treat, difference-in-differences analysis of health care spending over up to three years post CDHP offer among 13 million person-years of data from 54 large US firms, half of which offered CDHPs. To strengthen the identification, we balance observables over time within firm, by developing weights through a machine learning algorithm, generalized boosted regression. We find that spending is reduced for those in firms offering CDHPs in all three years post offer relative to firms continuing to offer lower-deductible plans. The reductions are driven by spending decreases in outpatient care and pharmaceuticals, with no evidence of increases in emergency department or inpatient care over the three-year window. |
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“Consumer-Directed” Health Plans (CDHPs), those with high deductibles and personal medical accounts, are intended to reduce health care spending through greater patient cost exposure. Prior research agrees that in the first year, CDHPs reduce spending. There is little research and in it results are mixed regarding the impact of CDHPs over the longer term. We add to this literature with an intent-to-treat, difference-in-differences analysis of health care spending over up to three years post CDHP offer among 13 million person-years of data from 54 large US firms, half of which offered CDHPs. To strengthen the identification, we balance observables over time within firm, by developing weights through a machine learning algorithm, generalized boosted regression. We find that spending is reduced for those in firms offering CDHPs in all three years post offer relative to firms continuing to offer lower-deductible plans. The reductions are driven by spending decreases in outpatient care and pharmaceuticals, with no evidence of increases in emergency department or inpatient care over the three-year window. |
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