TY - JOUR
T1 - The long term effects of “Consumer-Directed” health plans on preventive care use
AU - Eisenberg, Matthew D.
AU - Haviland, Amelia M.
AU - Mehrotra, Ateev
AU - Huckfeldt, Peter J.
AU - Sood, Neeraj
N1 - Funding Information:
This study was funded in part by a grant from the National Institute of Aging (NIA) and the NIH Common Fund for Health Economics (Grant R01-AG043850). Prior grants from the California Health Care Foundation and the Robert Wood Johnson Foundation enabled the construction of the data source for this study. We thank participants at the American Society of Health Economists meeting in 2014, International Health Economics Association Meeting in 2015, and two anonymous reviewers for helpful comments. Any remaining errors are our own.
Publisher Copyright:
© 2017 Elsevier B.V.
PY - 2017/9
Y1 - 2017/9
N2 - “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.
AB - “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.
KW - High deductible health plans
KW - Preventive care
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U2 - 10.1016/j.jhealeco.2017.06.008
DO - 10.1016/j.jhealeco.2017.06.008
M3 - Article
C2 - 28712437
AN - SCOPUS:85023605461
SN - 0167-6296
VL - 55
SP - 61
EP - 75
JO - Journal of health economics
JF - Journal of health economics
ER -