TY - JOUR T1 - MOre health care is not necessarily better health care—reply AU - Kullgren JT, Lieu TA Y1 - 2011/06/27 N1 - 10.1001/archinternmed.2011.269 JO - Archives of Internal Medicine SP - 1124 EP - 1124 VL - 171 IS - 12 N2 - Previous studies suggest that cost-sharing affects both essential and less-essential care. The RAND Health Insurance Experiment referenced by Dr Erlebacher showed that patients exposed to high levels of cost sharing reduced their use of highly-effective care and less-effective care in similar proportions.1- 2 A more recent study by Hibbard et al3 found that new enrollees in a consumer-directed health plan (CDHP) reduced their use of high-priority office visits as often as their use of low-priority office visits. SN - 0003-9926 M3 - doi: 10.1001/archinternmed.2011.269 UR - http://dx.doi.org/10.1001/archinternmed.2011.269 ER -