| 来源类型 | Working Paper |
| 规范类型 | 报告 |
| DOI | 10.3386/w22875 |
| 来源ID | Working Paper 22875 |
| The Impact of Increased Cost-sharing on Utilization of Low Value Services: Evidence from the State of Oregon | |
| Jonathan Gruber; Johanna Catherine Maclean; Bill J. Wright; Eric S. Wilkinson; Kevin Volpp | |
| 发表日期 | 2016-12-05 |
| 出版年 | 2016 |
| 语种 | 英语 |
| 摘要 | In this study we examine the impact of a value-based insurance design (V-BID) program implemented between 2010 and 2013 at a large public employer in the state of Oregon. The program substantially increased cost-sharing, specifically copayments and coinsurance, for several healthcare services believed to be of low value and overused (sleep studies, endoscopies, advanced imaging, and surgeries). Using a differences-in-differences design coupled with granular, administrative health insurance claims data, we estimate the change in low value healthcare service utilization among beneficiaries before and after program implementation relative to a comparison group of beneficiaries who were not exposed to the V-BID. Our findings suggest that the V-BID significantly reduced utilization of targeted services. These findings have important implications for both public and private healthcare policies as V-BID principles are rapidly proliferating in healthcare markets. |
| 主题 | Health, Education, and Welfare ; Health |
| URL | https://www.nber.org/papers/w22875 |
| 来源智库 | National Bureau of Economic Research (United States) |
| 引用统计 | |
| 资源类型 | 智库出版物 |
| 条目标识符 | http://119.78.100.153/handle/2XGU8XDN/580549 |
| 推荐引用方式 GB/T 7714 | Jonathan Gruber,Johanna Catherine Maclean,Bill J. Wright,et al. The Impact of Increased Cost-sharing on Utilization of Low Value Services: Evidence from the State of Oregon. 2016. |
| 条目包含的文件 | ||||||
| 文件名称/大小 | 资源类型 | 版本类型 | 开放类型 | 使用许可 | ||
| w22875.pdf（410KB） | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 | ||
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