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...
Ausführliche Beschreibung
Autor*in: |
Haviland, Amelia M [verfasserIn] |
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Format: |
Artikel |
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Sprache: |
Englisch |
Erschienen: |
2016 |
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Rechteinformationen: |
Nutzungsrecht: Copyright © 2016 Elsevier B.V. All rights reserved. |
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Übergeordnetes Werk: |
Enthalten in: Journal of health economics - Amsterdam [u.a.] : Elsevier, 1982, 46(2016), Seite 33 |
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Übergeordnetes Werk: |
volume:46 ; year:2016 ; pages:33 |
Links: |
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DOI / URN: |
10.1016/j.jhealeco.2016.01.001 |
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10.1016/j.jhealeco.2016.01.001 doi PQ20160430 (DE-627)OLC1973005670 (DE-599)GBVOLC1973005670 (PRQ)c1811-b506a0c1c7e3463f282da5edbea715fccdd3975121a685623f632e9511e6f5b20 (KEY)0111907920160000046000000033doconsumerdirectedhealthplansbendthecostcurveovert DE-627 ger DE-627 rakwb eng 610 DNB Haviland, Amelia M verfasserin aut Do "Consumer-Directed" health plans bend the cost curve over time? 2016 Text txt rdacontent ohne Hilfsmittel zu benutzen n rdamedia Band nc 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. Nutzungsrecht: Copyright © 2016 Elsevier B.V. All rights reserved. Eisenberg, Matthew D oth Mehrotra, Ateev oth Huckfeldt, Peter J oth Sood, Neeraj oth Enthalten in Journal of health economics Amsterdam [u.a.] : Elsevier, 1982 46(2016), Seite 33 (DE-627)168045346 (DE-600)625797-5 (DE-576)015918297 0167-6296 nnns volume:46 year:2016 pages:33 http://dx.doi.org/10.1016/j.jhealeco.2016.01.001 Volltext http://www.ncbi.nlm.nih.gov/pubmed/26851386 GBV_USEFLAG_A SYSFLAG_A GBV_OLC SSG-OLC-WIW GBV_ILN_26 GBV_ILN_65 GBV_ILN_70 GBV_ILN_4012 GBV_ILN_4311 AR 46 2016 33 |
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10.1016/j.jhealeco.2016.01.001 doi PQ20160430 (DE-627)OLC1973005670 (DE-599)GBVOLC1973005670 (PRQ)c1811-b506a0c1c7e3463f282da5edbea715fccdd3975121a685623f632e9511e6f5b20 (KEY)0111907920160000046000000033doconsumerdirectedhealthplansbendthecostcurveovert DE-627 ger DE-627 rakwb eng 610 DNB Haviland, Amelia M verfasserin aut Do "Consumer-Directed" health plans bend the cost curve over time? 2016 Text txt rdacontent ohne Hilfsmittel zu benutzen n rdamedia Band nc 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. Nutzungsrecht: Copyright © 2016 Elsevier B.V. All rights reserved. Eisenberg, Matthew D oth Mehrotra, Ateev oth Huckfeldt, Peter J oth Sood, Neeraj oth Enthalten in Journal of health economics Amsterdam [u.a.] : Elsevier, 1982 46(2016), Seite 33 (DE-627)168045346 (DE-600)625797-5 (DE-576)015918297 0167-6296 nnns volume:46 year:2016 pages:33 http://dx.doi.org/10.1016/j.jhealeco.2016.01.001 Volltext http://www.ncbi.nlm.nih.gov/pubmed/26851386 GBV_USEFLAG_A SYSFLAG_A GBV_OLC SSG-OLC-WIW GBV_ILN_26 GBV_ILN_65 GBV_ILN_70 GBV_ILN_4012 GBV_ILN_4311 AR 46 2016 33 |
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10.1016/j.jhealeco.2016.01.001 doi PQ20160430 (DE-627)OLC1973005670 (DE-599)GBVOLC1973005670 (PRQ)c1811-b506a0c1c7e3463f282da5edbea715fccdd3975121a685623f632e9511e6f5b20 (KEY)0111907920160000046000000033doconsumerdirectedhealthplansbendthecostcurveovert DE-627 ger DE-627 rakwb eng 610 DNB Haviland, Amelia M verfasserin aut Do "Consumer-Directed" health plans bend the cost curve over time? 2016 Text txt rdacontent ohne Hilfsmittel zu benutzen n rdamedia Band nc 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. Nutzungsrecht: Copyright © 2016 Elsevier B.V. All rights reserved. Eisenberg, Matthew D oth Mehrotra, Ateev oth Huckfeldt, Peter J oth Sood, Neeraj oth Enthalten in Journal of health economics Amsterdam [u.a.] : Elsevier, 1982 46(2016), Seite 33 (DE-627)168045346 (DE-600)625797-5 (DE-576)015918297 0167-6296 nnns volume:46 year:2016 pages:33 http://dx.doi.org/10.1016/j.jhealeco.2016.01.001 Volltext http://www.ncbi.nlm.nih.gov/pubmed/26851386 GBV_USEFLAG_A SYSFLAG_A GBV_OLC SSG-OLC-WIW GBV_ILN_26 GBV_ILN_65 GBV_ILN_70 GBV_ILN_4012 GBV_ILN_4311 AR 46 2016 33 |
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10.1016/j.jhealeco.2016.01.001 doi PQ20160430 (DE-627)OLC1973005670 (DE-599)GBVOLC1973005670 (PRQ)c1811-b506a0c1c7e3463f282da5edbea715fccdd3975121a685623f632e9511e6f5b20 (KEY)0111907920160000046000000033doconsumerdirectedhealthplansbendthecostcurveovert DE-627 ger DE-627 rakwb eng 610 DNB Haviland, Amelia M verfasserin aut Do "Consumer-Directed" health plans bend the cost curve over time? 2016 Text txt rdacontent ohne Hilfsmittel zu benutzen n rdamedia Band nc 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. Nutzungsrecht: Copyright © 2016 Elsevier B.V. All rights reserved. Eisenberg, Matthew D oth Mehrotra, Ateev oth Huckfeldt, Peter J oth Sood, Neeraj oth Enthalten in Journal of health economics Amsterdam [u.a.] : Elsevier, 1982 46(2016), Seite 33 (DE-627)168045346 (DE-600)625797-5 (DE-576)015918297 0167-6296 nnns volume:46 year:2016 pages:33 http://dx.doi.org/10.1016/j.jhealeco.2016.01.001 Volltext http://www.ncbi.nlm.nih.gov/pubmed/26851386 GBV_USEFLAG_A SYSFLAG_A GBV_OLC SSG-OLC-WIW GBV_ILN_26 GBV_ILN_65 GBV_ILN_70 GBV_ILN_4012 GBV_ILN_4311 AR 46 2016 33 |
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10.1016/j.jhealeco.2016.01.001 doi PQ20160430 (DE-627)OLC1973005670 (DE-599)GBVOLC1973005670 (PRQ)c1811-b506a0c1c7e3463f282da5edbea715fccdd3975121a685623f632e9511e6f5b20 (KEY)0111907920160000046000000033doconsumerdirectedhealthplansbendthecostcurveovert DE-627 ger DE-627 rakwb eng 610 DNB Haviland, Amelia M verfasserin aut Do "Consumer-Directed" health plans bend the cost curve over time? 2016 Text txt rdacontent ohne Hilfsmittel zu benutzen n rdamedia Band nc 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. Nutzungsrecht: Copyright © 2016 Elsevier B.V. All rights reserved. Eisenberg, Matthew D oth Mehrotra, Ateev oth Huckfeldt, Peter J oth Sood, Neeraj oth Enthalten in Journal of health economics Amsterdam [u.a.] : Elsevier, 1982 46(2016), Seite 33 (DE-627)168045346 (DE-600)625797-5 (DE-576)015918297 0167-6296 nnns volume:46 year:2016 pages:33 http://dx.doi.org/10.1016/j.jhealeco.2016.01.001 Volltext http://www.ncbi.nlm.nih.gov/pubmed/26851386 GBV_USEFLAG_A SYSFLAG_A GBV_OLC SSG-OLC-WIW GBV_ILN_26 GBV_ILN_65 GBV_ILN_70 GBV_ILN_4012 GBV_ILN_4311 AR 46 2016 33 |
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Do "Consumer-Directed" health plans bend the cost curve over time? |
abstract |
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. |
abstractGer |
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. |
abstract_unstemmed |
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. |
collection_details |
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title_short |
Do "Consumer-Directed" health plans bend the cost curve over time? |
url |
http://dx.doi.org/10.1016/j.jhealeco.2016.01.001 http://www.ncbi.nlm.nih.gov/pubmed/26851386 |
remote_bool |
false |
author2 |
Eisenberg, Matthew D Mehrotra, Ateev Huckfeldt, Peter J Sood, Neeraj |
author2Str |
Eisenberg, Matthew D Mehrotra, Ateev Huckfeldt, Peter J Sood, Neeraj |
ppnlink |
168045346 |
mediatype_str_mv |
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hochschulschrift_bool |
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author2_role |
oth oth oth oth |
doi_str |
10.1016/j.jhealeco.2016.01.001 |
up_date |
2024-07-04T01:20:12.493Z |
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1803609453357957120 |
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7.4014883 |