ArticleJournal of health economics2021
Effects of employer-offered high-deductible plans on low-value spending in the privately insured population.
Article in Journal of health economics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 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
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.
- The Impact of Choosing Wisely Interventions on Low-Value Medical Services: A Systematic Review.The Milbank quarterly · 2021Pooled it
- The impact of telehealth cost-sharing on healthcare utilization: Evidence from high-deductible health plans.Health services research · 2024Article
- Health Care-Related Savings Accounts, Health Care Expenditures, and Tax Expenditures.JAMA health forum · 2024Article
- Deductible imputation in administrative medical claims datasets.Health services research · 2024Article
- PERSPECTIVE: A Path to Value-Based Insurance Design for Mental Health Services.The journal of mental health policy and economics · 2024Article
- 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 With Health Care Use and Costs for Patients With Cardiovascular Disease.Journal of the American Heart Association · 2023Article
- Do High-Deductible Health Plans Incentivize Changing the Timing of Substance Use Disorder Treatment?Medical care research and review : MCRR · 2023Article
- Association between high deductible health plan coverage and age at pediatric umbilical hernia repair.World journal of pediatric surgery · 2023Article
- High deductible health plans and spending among families with a substance use disorder.Drug and alcohol dependence · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 3 institutions in 1 country.
Funding
Abstract
Enrollment in plans with high deductibles has increased more than seven-fold in the last decade. Proponents of these plans argue that high deductibles could reduce wasteful spending by providing patients with incentives to limit use of low-value services that offer little or no clinical benefit. Others are concerned that patients may respond to these incentives by reducing their use of medical services indiscriminately and regardless of clinical benefit, which may negatively impact health outcomes. This study uses individual-level insurance claims data (2008-2013) and plausibly exogenous changes in plan offerings within firms over time to estimate the intent-to-treat and local-average treatment effects of high-deductible plan offerings on spending on 24 low-value services received in the outpatient setting. We find that firm offer of a high-deductible plan leads to a 13.7% ($5.23) reduction in average enrollee spending on low-value outpatient services and a 5.2% ($105.77) reduction in overall outpatient spending. We also find reductions in spending on measures of low-value imaging and laboratory services. We find some evidence that offering high-deductible plans disproportionately reduces low-value spending relative to overall spending, indicating that deductibles may be a way to incentivize value-based decision making.
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Identifiers
What 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.