High deductible health plans
Does cost sharing stimulate increased consumer sophistication
Bibliographic Data
| ID | 19507056 |
|---|---|
| Authors | Neal Gupta (Division of General Internal Medicine University of Pennsylvania Philadelphia PA USA), Daniel Polsky (0000-0001-8403-9612, Division of General Internal Medicine University of Pennsylvania Philadelphia PA USA, corresponding author) |
| Year | 2015 |
| Volume | 18 |
| Issue | 3 |
| Pages | 335-343 |
| Publication date | 2015-06-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Health Expectations (JOURNAL) |
| Journal identifiers | ISSN: 1369-6513 • E-ISSN: 1369-7625 |
| Publisher | Wiley (PUBLISHER • GB) |
| DOI | 10.1111/hex.12031 |
| PMID | 23241084 |
| OpenAlex | W1999796247 |
| Language | EN |
| Citations received | 2 |
| References cited | 33 |
OBJECTIVE: To determine whether increased cost sharing in health insurance plans induces higher levels of consumer sophistication in a non-elderly population. STUDY DESIGN: This analysis is based on the collection of survey and demographic data collected from enrollees in the RAND health insurance experiment (HIE). During the RAND HIE, enrollees were randomly assigned to different levels of cost sharing (0, 25, 50 and 95%). METHODS: The study population compromises about 2000 people enrolled in the RAND HIE, between the years 1974 and 1982. Effects on health-care decision making were measured using the results of a standardized questionnaire, administered at the beginning and end of the experiment. Points of enquiry included whether or not enrollees' (i) recognized the need for second opinions (ii) questioned the effectiveness of certain therapies and (iii) researched the background/skill of their medical providers. Consumer sophistication was also measured for regular health-care consumers, as indicated by the presence of a chronic disease. PRINCIPAL FINDINGS: We found no statically significant changes (P < 0.05) in the health-care decision-making strategies between individuals randomized to high cost sharing plans and low cost sharing plans. Furthermore, we did not find a stronger effect for patients with a chronic disease. CONCLUSIONS: The evidence from the RAND HIE does not support the hypothesis that a higher level of cost sharing incentivizes the development of consumer sophistication. As a result, cost sharing alone will not promote individuals to become more selective in their health-care decision-making
Actuarial science · Business · Cost sharing · Deductible · Economics · Environmental health · Family medicine · Health care · Population · Sophistication · Health Systems, Economic Evaluations, Quality of Life · Healthcare Policy and Management · Medicine · Nursing · Patient-Provider Communication in Healthcare · Psychology · Gerontology
Multiple Chronic Conditions
Welcome to Implementation Science
Decision aids for people facing health treatment or screening decisions
Use of the Internet and E-mail for Health Care Information
Implementing shared decision making in the NHS
Systematic review of involving patients in the planning and development of health care
Patient and public involvement
Consumer-Directed Health Plans
Cost-Related Medication Underuse Among Chronically III Adults
Substitution Between Prescribed and Over-the-Counter Medications
How Sophisticated Are Consumers About the Medical Care Delivery System
| Citations per year | 0.5 |
|---|---|
| Citation span | 2022 - 2023 (2) |
| Highly cited | No |