ArticleThe American journal of managed care2017
Impact of consumer-directed health plans on low-value healthcare.
Article in The American journal of managed care, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The Impact of Choosing Wisely Interventions on Low-Value Medical Services: A Systematic Review.The Milbank quarterly · 2021Pooled it
- Impact of High Deductible Health Plans on U.S. Adults With Chronic Pain.American journal of preventive medicine · 2023Article
- Association of High-Deductible Health Plans and Time to Surgery for Breast and Colon Cancer.Journal of the American College of Surgeons · 2023Article
- Impact of High-Deductible Health Plans on Breast Reconstruction: Considerations for Financial Toxicity.Plastic and reconstructive surgery · 2023Article
- Identifying drivers of health care value: a scoping review of the literature.BMC health services research · 2022Article
- Association of High-Deductible Health Plan Enrollment With Spending on and Use of Lenalidomide Therapy Among Commercially Insured Patients With Multiple Myeloma.JAMA network open · 2022Article
- Effects of High-Deductible Health Plans on Enrollees With Mental Health Conditions With and Without Substance Use Disorders.Psychiatric services (Washington, D.C.) · 2022Article
- Waste in the Medicare Program: a National Cross-Sectional Analysis of 2017 Low-Value Service Use and Spending.Journal of general internal medicine · 2021Article
- Effects of employer-offered high-deductible plans on low-value spending in the privately insured population.Journal of health economics · 2021Article
- Self-Insured Employer Health Benefits Strategy Established a Negative Cost Trend While Improving Performance.Population health management · 2019Article
- Spillover Effects From A Consumer-Based Intervention To Increase High-Value Preventive Care.Health affairs (Project Hope) · 2019Article
- Paying Patients To Switch: Impact Of A Rewards Program On Choice Of Providers, Prices, And Utilization.Health affairs (Project Hope) · 2019Article
- High Deductible Health Plans and Use of Free Preventive Services Under the Affordable Care Act.Inquiry : a journal of medical care organization, provision and financingArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
Abstract
objectivesTo assess the impact of consumer-directed health plan (CDHP) enrollment on low-value healthcare spending. STUDY
designWe performed a quasi-experimental analysis using insurance claims data from 376,091 patients aged 18 to 63 years continuously enrolled in a plan from a large national commercial insurer from 2011 to 2013. We measured spending on 26 low-value healthcare services that offer unclear or no clinical benefit.
methodsEmploying a difference-in-differences approach, we compared the change in spending on low-value services for patients switching from a traditional health plan to a CDHP with the change in spending on low-value services for matched patients remaining in a traditional plan.
resultsSwitching to a CDHP was associated with a $231.60 reduction in annual outpatient spending (95% CI, -$341.65 to -$121.53); however, no significant reductions were observed in annual spending on the 26 low-value services (--$3.64; 95% CI, -$9.60 to $2.31) or on these low-value services relative to overall outpatient spending (-$7.86 per $10,000 in outpatient spending; 95% CI, -$18.43 to $2.72). Similarly, a small reduction was noted for low-value spending on imaging (-$1.76; 95% CI, -$3.39 to -$0.14), but not relative to overall imaging spending, and no significant reductions were noted in low-value laboratory spending.
conclusionsCDHPs in their current form may represent too blunt an instrument to specifically curtail low-value healthcare spending.
Indexed as
Identifiers
29261240PMC6132267What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.