High-deductible health plans reduce health care cost and utilization, including use of needed preventive services

Rajender Agarwal, Olena Mazurenko, Nir Menachemi

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Enrollment in high-deductible health plans (HDHPs) has greatly increased in recent years. Policy makers and other stakeholders need the best available evidence about how these plans may affect health care cost and utilization, but the literature has not been comprehensively synthesized. We performed a systematic review of methodologically rigorous studies that examined the impact of HDHPs on health care utilization and costs. The plans were associated with a significant reduction in preventive care in seven of twelve studies and a significant reduction in office visits in six of eleven studies-which in turn led to a reduction in both appropriate and inappropriate care. Furthermore, bivariate analyses of data extracted from the included studies suggested that the plans may be associated with a reduction in appropriate preventive care and medication adherence. Current evidence suggests that HDHPs are associated with lower health care costs as a result of a reduction in the use of health services, including appropriate services.

Original languageEnglish (US)
Pages (from-to)1762-1768
Number of pages7
JournalHealth Affairs
Volume36
Issue number10
DOIs
StatePublished - Oct 1 2017

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Deductibles and Coinsurance
Patient Acceptance of Health Care
Health Care Costs
Preventive Medicine
Health
Office Visits
Medication Adherence
Administrative Personnel
Health Services

ASJC Scopus subject areas

  • Health Policy

Cite this

High-deductible health plans reduce health care cost and utilization, including use of needed preventive services. / Agarwal, Rajender; Mazurenko, Olena; Menachemi, Nir.

In: Health Affairs, Vol. 36, No. 10, 01.10.2017, p. 1762-1768.

Research output: Contribution to journalArticle

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