Consumer Directed Health Plans and Use of Preventive Services

消费者导向的健康计划和预防服务的使用

基本信息

批准号：
8544387
负责人：
Neeraj Sood
金额：
$ 27.44万
依托单位：
UNIVERSITY OF SOUTHERN CALIFORNIA
依托单位国家：
美国
项目类别：
财政年份：
2012
资助国家：
美国
起止时间：
2012-09-15 至 2015-05-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8544387
关键词：
Accounting Back Caring Clinical Medicine Colorectal Cancer Complex Coronary heart disease Cost Sharing Data Decision Making Deductibles Diabetes Mellitus Diabetic Nephropathy Drug Prescriptions Enrollment Expenditure Face Generic Drugs Health Health Care Costs Health Care Reform Health Insurance Health Planning Health Services Health Services Research Healthcare Hospitalization Hypertension Immunization Incentives Insurance Lead Learning Long-Term Effects Malignant neoplasm of cervix uteri Mammography Marketing Medical Outcome Pharmaceutical Preparations Prevention Preventive Price Procedures Provider Publishing Relative (related person)Research Research Project Grants Sampling Screening for cancer Secondary Prevention Services Surveys Taxes Testing Time cost cost effective design financial incentive health care service utilization health economics improved member payment prescription drug costs prevent response screening theories trend

项目摘要

DESCRIPTION (provided by applicant): The market share of CDHPs or "consumer directed health plans"- plans with high deductibles and personal health accounts has grown dramatically in recent years. CDHPs change incentives for use of preventive services in complex ways. CDHPs provide first dollar coverage for a few selected primary preventive services such as cancer screenings but CDHP enrollees pay the full costs for other preventive services such as the costs of prescription drugs below the annual deductible. Consumers also face higher costs other medical expenses such as hospitalizations which might be prevented by efficient use of preventive. The proposed research project would be the first, to our knowledge, to comprehensively estimate the longer-term effects of CDHPs on use of primary and secondary preventive services, and whether these health plans lead to greater "price-shopping" for preventive care. We will utilize unique claims and survey data from CDHP and traditional plans offered by 63 large U.S. firms for the period 2003-2007 to: 1) Examine the long-term effects of CDHPs on the use of preventive services with first dollar coverage, such as screenings and immunizations. 2) Examine the effects of CDHPs on the use of preventive services without first dollar coverage, such as prescription drugs for secondary prevention of diabetes, hypertension, and coronary heart disease. 3) Examine the effects of CHDPs on price shopping for preventive services including services with and without first dollar coverage.

描述（由申请人提供）：CDHP或“指导健康计划”的市场份额 - 近年来具有高扣除额和个人健康帐户的计划急剧增长。 CDHPS以复杂的方式更改了用于使用预防服务的激励措施。 CDHP为一些选定的主要预防服务（例如癌症筛查）提供了第一美元的覆盖范围，但是CDHP参与者为其他预防服务支付了全部费用，例如低于年度扣除额的处方药费用。消费者还面临更高的成本，例如其他医疗费用，例如通过有效使用预防性来预防的住院费用。据我们所知，拟议的研究项目将是第一个全面估计CDHP对使用初级和次级预防服务的长期影响，以及这些健康计划是否会导致更大的“价格分摊”以进行预防保健。我们将利用CDHP的独特索赔和调查数据以及2003 - 2007年的63家大型美国公司提供的传统计划至：1）检查CDHP对使用第一美元覆盖范围的预防服务的长期影响，例如筛查和疫苗。 2）检查CDHP对没有第一美元覆盖的预防服务的影响，例如用于预防糖尿病，高血压和冠状动脉疾病的处方药。 3）检查墨西哥银行对预防服务价格购物的影响，包括有或没有第一美元的服务。