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Does enrollment in a CDHP stimulate cost-effective utilization?

Judith H Hibbard1, Jessica Greene, Martin Tusler

  • 1University of Oregon.

Medical Care Research and Review : MCRR
|April 12, 2008
PubMed
Summary
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Consumer-driven health plans (CDHPs) reduce office visits, but not selectively. Care reductions occurred across high- and low-priority services, disproportionately affecting lower socioeconomic groups.

Area of Science:

  • Health Economics
  • Healthcare Management
  • Health Services Research

Background:

  • Consumer-driven health plans (CDHPs) assume cost-sharing incentivizes evidence-based care selection.
  • Previous research has not fully elucidated utilization changes post-CDHP enrollment.

Purpose of the Study:

  • To investigate changes in healthcare utilization patterns after CDHP enrollment.
  • To determine if these changes reflect a shift towards evidence-based care.

Main Methods:

  • Analysis of claims data for 18,025 employees and dependents.
  • Categorization of utilization into high-priority (evidence-based) and low-priority (limited evidence) care.
  • Comparison of utilization patterns before and after CDHP enrollment.

Related Experiment Videos

Main Results:

  • CDHP enrollment led to a reduction in office visits during the first year.
  • Reductions were observed in both high- and low-priority care utilization.
  • Greater reductions in care were noted among employees with lower education and income levels.

Conclusions:

  • CDHPs may lead to indiscriminate reductions in healthcare utilization.
  • The shift towards cost-effectiveness in CDHPs might not prioritize evidence-based care.
  • Socioeconomic factors significantly influence the impact of CDHPs on healthcare access.