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来源类型 | Publication |
来源ID | National Institute for Health Care Reform Research Brief Number 21 |
Balancing Access and Costs: Health Benefit Structures for Privately Insured People | |
James D. Reschovsky; Kara Contreary; and Joel V. Smith | |
发表日期 | 2016-03-31 |
出版者 | Washington, DC: National Institute for Health Care Reform |
出版年 | 2016 |
语种 | 英语 |
概述 | Health insurance benefit structures, particularly cost-sharing amounts, can either encourage or discourage patients from seeking care. The goal is to strike the right balance so out-of-pocket costs don’t discourage people from getting needed care but do prompt them to consider costs before seeking discretionary care.", |
摘要 | Health insurance benefit structures, particularly cost-sharing amounts, can either encourage or discourage patients from seeking care. The goal is to strike the right balance so out-of-pocket costs don’t discourage people from getting needed care but do prompt them to consider costs before seeking discretionary care. In 2011, contracts between the International Union, UAW, and Fiat Chrysler, Ford and General Motors significantly changed the structure of autoworker health benefits. Generally, coverage of outpatient physician visits was expanded while additional cost sharing was imposed for emergency department visits unless the patient is admitted to the hospital. A new National Institute for Health Care Reform analysis explores the impact of the autoworker health benefit changes on spending and utilization, providing insights into how benefit structures affect access and costs. Generally, lower patient cost sharing for physician visits resulted in substantially higher overall spending, both as a result of more physician visits as well as increased diagnostic services and procedures. However, higher cost sharing did not significantly decrease emergency department visits or expenditures. |
URL | https://www.mathematica.org/our-publications-and-findings/publications/balancing-access-and-costs-health-benefit-structures-for-privately-insured-people |
来源智库 | Mathematica Policy Research (United States) |
资源类型 | 智库出版物 |
条目标识符 | http://119.78.100.153/handle/2XGU8XDN/488464 |
推荐引用方式 GB/T 7714 | James D. Reschovsky,Kara Contreary,and Joel V. Smith. Balancing Access and Costs: Health Benefit Structures for Privately Insured People. 2016. |
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文件名称/大小 | 资源类型 | 版本类型 | 开放类型 | 使用许可 | ||
nihcr research brief(201KB) | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 |
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