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- Title
Does Enrollment in a CDHP Stimulate Cost-Effective Utilization?
- Authors
Hibbard, Judith H.; Greene, Jessica; Tusler, Martin
- Abstract
Consumer-driven health plans (CDHPs) are built on the assumption that with increased cost sharing consumers will select cost-effective evidence-based care. In this study, the authors explore whether patterns of utilization change after enrollment in a CDHP and whether the pattern reflects a shift toward evidence-based care. The study population is comprised of 18,025 employees and their adult dependents. The analysis uses a schema for categorizing claims data into high-priority (evidence-based care) and low-priority (limited or no evidence-based care) utilization. The findings indicate that enrollment in CDHPs resulted in a reduction of office visits in the 1st year of enrollment. These reductions in care appear to be indiscriminant, with patients cutting back in both high- and low-priority visits. The reductions in high- and low-priority visits were greater for employees with lower education and income.
- Subjects
HEALTH planning; MONETARY incentives; CONSUMER behavior; COST effectiveness; PUBLIC health
- Publication
Medical Care Research & Review, 2008, Vol 65, Issue 4, p437
- ISSN
1077-5587
- Publication type
Article
- DOI
10.1177/1077558708316686