0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
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 ......
Research Letter |

Cost-Sharing Obligations, High-Deductible Health Plan Growth, and Shopping for Health Care Enrollees With Skin in the Game

Anna D. Sinaiko, PhD1; Ateev Mehrotra, MD2,3; Neeraj Sood, PhD4
[+] Author Affiliations
1Department of Health Policy and Management, Harvard T.H. Chan School of Public Health, Boston, Massachusetts
2Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts
3Department of Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts
4Schaeffer Center for Health Policy & Economics, University of Southern California, Los Angeles
JAMA Intern Med. 2016;176(3):395-397. doi:10.1001/jamainternmed.2015.7554.
Text Size: A A A
Published online

Extract

This cohort study examines the rapid growth of high-deductible health plans in a nationally representative sample of insured US adults.

The rapid growth of high-deductible health plans (HDHP) has been driven in part owing to a belief that cost-sharing obligations (ie, having skin in the game) will encourage health insurance enrollees to shop for health care.1 The wide variation in costs across physicians and hospitals implies considerable opportunity for enrollees to save money by switching to lower-cost providers.2 High-deductible health plan enrollment is associated with lower health care spending.3,4 However, prior studies using health insurance claims data indicate these savings are primarily owing to decreased use of care and not because HDHP enrollees are switching to lower-cost providers.5 Limited prior work has assessed attitudes toward price shopping among HDHP enrollees and whether they were more likely to consider costs when seeking care.

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
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.

Multimedia

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

4,184 Views
1 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
Hidden costs. Minn Med 2015;98(1):22-7.
Pharmaceuticals and Medical Devices: Cost Savings. Issue Brief Health Policy Track Serv 2015;():1-31.
Jobs
brightcove.createExperiences();