Evidence map›Paper›PMID 37345300›Full record

ArticleMedical care research and review : MCRR2023

Do High-Deductible Health Plans Incentivize Changing the Timing of Substance Use Disorder Treatment?

Mara A G Hollander, Alene Kennedy-Hendricks, Cameron Schilling, Mark K Meiselbach, Elizabeth A Stuart, Haiden A Huskamp, Alisa B Busch, Julia C P Eddelbuettel, Colleen L Barry, Matthew D Eisenberg

Abstract read
In one paragraph

Article in Medical care research and review : MCRR, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Mara A G HollanderUniversity of North Carolina at Charlotte, USA.ORCID 0000-0001-7955-7431
Alene Kennedy-HendricksJohns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Cameron SchillingNuna Inc., San Francisco, CA, USA.
Mark K MeiselbachJohns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.ORCID 0000-0003-3583-5588
Elizabeth A StuartJohns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Haiden A HuskampHarvard Medical School, Boston, MA, USA.
Alisa B BuschHarvard Medical School, Boston, MA, USA.
Julia C P EddelbuettelJohns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Colleen L BarryCornell Jeb E. Brooks School of Public Policy, Ithaca, NY, USA.
Matthew D EisenbergJohns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.

Funding

Research Support CoreP30DA035772 · NIDA · BRANDEIS UNIVERSITY · PI Haiden A Huskamp, SHARON REIF · 2015 to 2026
$11.3M
TRAINING IN HEALTH SERVICES RESEARCHT32HS000029 · AHRQ · JOHNS HOPKINS UNIVERSITY · PI DY, SYDNEY MORSS · 1987 to 2024
$8.3M
Consumer-Directed Health Plans and Substance Use Disorder TreatmentR01DA044201 · NIDA · JOHNS HOPKINS UNIVERSITY · PI BARRY, COLLEEN L, EISENBERG, MATTHEW · 2018 to 2021
$2.9M
Mental Health Services and Systems Training ProgramT32MH109436 · NIMH · JOHNS HOPKINS UNIVERSITY · PI Matthew Eisenberg, Elizabeth A. Stuart · 2017 to 2026
$1.7M
AHRQ HHS T32 HS000029NIDA NIH HHS P30 DA035772NIDA NIH HHS R01 DA044201NIMH NIH HHS T32 MH109436
6 · The paper itself

Abstract

A high-deductible health plan (HDHP) may incentivize enrollees to limit health care use at the beginning of a plan year, when they are responsible for 100% of costs, or to increase the use of care at the end of the year, when enrollees may have less cost exposure. We investigated both the impact of the deductible reset that occurs at the beginning of a plan year and the option to enroll in an HDHP on the use of substance use disorder (SUD) treatment services over the course of a health plan year. We found decreases in SUD treatment use following the increase in cost exposure related to a deductible reset. There was no variation in this behavior between HDHP offer enrollees and comparison enrollees who were not offered an HDHP. These findings reinforce that cost-sharing poses a barrier to SUD care and continuity of care, which can increase the risk of adverse clinical outcomes.

Indexed as

Health Benefit Plans, EmployeeSubstance-Related DisordersChoice BehaviorConsumer BehaviorDeductibles and CoinsuranceHumansconsumer-directed health planhigh deductible health planinsurancesubstance usesubstance use disorder

Identifiers

PMID37345300
PMCPMC10961140

What OpenQuestion holds

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Registered trials

None linked

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.