Who chooses a consumer-directed health plan?
- PMID: 18997225
- PMCID: PMC3673553
- DOI: 10.1377/hlthaff.27.6.1671
Who chooses a consumer-directed health plan?
Abstract
Consumer-directed health plans (CDHPs) hold the promise of reining in health spending by giving consumers a greater stake in health care purchasing, yet little is known about employers' experience with these products. In examining the characteristics of those selecting a CDHP offered by one large employer, we found stronger evidence of selection than has been identified in prior research. Our findings suggest that in the context of plan choice, CDHPs may offer little opportunity to greatly lower employers' cost burden, and they highlight concerns about the potential for risk segmentation and the value of conferring preferential tax treatment to CDHPs.
Similar articles
-
Healthcare spending and preventive care in high-deductible and consumer-directed health plans.Am J Manag Care. 2011 Mar;17(3):222-30. Am J Manag Care. 2011. PMID: 21504258
-
The Association of Out-of-Pocket Spending and Health Status With Consumer-Directed Health Plan Choice.J Healthc Manag. 2018 Jul-Aug;63(4):e60-e74. doi: 10.1097/JHM-D-16-00039. J Healthc Manag. 2018. PMID: 29985259
-
CDHPs: as enrollment goes up, a time to tune up.Benefits Q. 2014;30(3):19-23. Benefits Q. 2014. PMID: 25509675
-
The role of employee flexible spending accounts in health care financing.Am J Public Health. 1996 Aug;86(8):1079-81. doi: 10.2105/ajph.86.8_pt_1.1079. Am J Public Health. 1996. PMID: 8712264 Free PMC article. Review.
-
Health care consumers: choices and constraints.Med Care Res Rev. 1999;56 Suppl 1:24-59; discussion 60-6. doi: 10.1177/1077558799056001S02. Med Care Res Rev. 1999. PMID: 10354678 Review.
Cited by
-
High-Deductible Health Plans: Implications for Substance Use Treatment.Health Serv Res. 2016 Oct;51(5):1939-59. doi: 10.1111/1475-6773.12456. Epub 2016 Feb 3. Health Serv Res. 2016. PMID: 26840191 Free PMC article.
-
Risk selection into consumer-directed health plans: an analysis of family choices within large employers.Health Serv Res. 2014 Apr;49(2):609-27. doi: 10.1111/1475-6773.12121. Health Serv Res. 2014. PMID: 24800305 Free PMC article.
-
Consumer-oriented health care reform strategies: a review of the evidence on managed competition and consumer-directed health insurance.Milbank Q. 2009 Dec;87(4):820-41. doi: 10.1111/j.1468-0009.2009.00580.x. Milbank Q. 2009. PMID: 20021587 Free PMC article. Review.
-
Impact of high-deductible health plans on health care utilization and costs.Health Serv Res. 2011 Feb;46(1 Pt 1):155-72. doi: 10.1111/j.1475-6773.2010.01191.x. Epub 2010 Oct 28. Health Serv Res. 2011. PMID: 21029087 Free PMC article.
-
Impact of consumer-directed health plans on low-value healthcare.Am J Manag Care. 2017 Dec;23(12):741-748. Am J Manag Care. 2017. PMID: 29261240 Free PMC article.
References
-
- Claxton G, et al. Health Benefits in 2007: Premium Increases Fall to an Eight-Year Low, while Offer Rates and Enrollment Remain Stable. Health Affairs. 2007;26(no. 5):1407–1416. - PubMed
-
-
See, for example, Buntin MB, et al. Consumer-Directed Health Care: Early Evidence about Effects on Cost and Quality. Health Affairs. 2006;25:w516–w530. (published online 24 October 2006; 10.1377/hlthaff.25.w516. Fowles JB, et al. Early Experience with Employee Choice of Consumer-Directed Health Plans and Satisfaction with Enrollment. Health Services Research. 2004;39(no. 4, Part 2):1141–1158. Parente ST, Feldman R, Christianson JB. Employee Choice of Consumer-Driven Health Insurance in a Multiplan, Multiproduct Setting. Health Services Research. 2004;39(no. 4, Part 2):1091–1112. LoSasso AT, et al. Tales from the New Frontier: Pioneers’ Experiences with Consumer-Driven Health Care. Health Services Research. 2004;39(no. 4, Part 2):1071–1090.
-
-
-
Jon Christianson, Stephen Parente, and Roger Feldman found that 8 percent of CDHP enrollees switched out after one year, compared to 5 percent of other enrollees, and that initial favorable selection disappeared over time. Christianson JB, Parente ST, Feldman R. Consumer Experiences in a Consumer-Driven Health Plan. Health Services Research. 2004;39(no. 4, Part 2):1123–1140. Parente ST, Feldman R, Christianson JB. Evaluation of the Effect of a Consumer-Driven Health Plan on Medical Care Expenditures and Utilization. Health Services Research. 2004;39(no. 4, Part 2):1189–1210.
-
-
- Busch SH, et al. Effects of a Cost-Sharing Exemption on Use of Preventive Services at One Large Employer. Health Affairs. 2006;25(no. 6):1529–1536. - PubMed
Publication types
MeSH terms
Grants and funding
LinkOut - more resources
Full Text Sources