We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Invited Commentary |

High-Deductible Plans: What If You Can't Afford Your Share?  Comment on “Health Care Use and Decision-Making Among Lower-Income Families in High-Deductible Health Plans”

Victor R. Grann, MD, MPH
Arch Intern Med. 2010;170(21):1925. doi:10.1001/archinternmed.2010.417.
Text Size: A A A
Published online


High-deductible health plans have captured a growing share of the health care market in the United States, especially in states such as Massachusetts, which developed a program to expand health care insurance to cover all its citizens. According to the National Health Interview Survey in 2009,1 nearly one-fourth of US adults with private coverage, and 50% of those who purchased insurance out of group, did so through cost-sharing plans similar to Massachusetts’. Because consumers are expected to pay more of their bills, high-deductible health plans have lower premiums, an attractive feature for many people given the high cost of health insurance. In addition, it has been argued that the use of such plans would control overall health care expenditures because consumers would be more careful shoppers, shunning unnecessary care if they had to pay a bigger part of the bill.

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Articles Related By Topic
PubMed Articles

The Rational Clinical Examination: Evidence-Based Clinical Diagnosis
Medical Decision-Making Capacity

The Rational Clinical Examination: Evidence-Based Clinical Diagnosis
Make the Diagnosis: Medical Decision-Making Capacity