Download or read book Early Experience with High deductible and Consumer driven Health Plans written by Paul Fronstin and published by . This book was released on 2005 with total page 29 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Consumer directed Health Plans written by United States Government Accountability Office and published by Createspace Independent Publishing Platform. This book was released on 2017-09-15 with total page 44 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health savings accounts (HSA) and the high-deductible health insurance plans that are eligible to be coupled with them are a new type of consumer-directed health plan attracting interest among employers and consumers. Employers and plan enrollees may contribute to tax-advantaged HSAs, and enrollees can use the accounts to pay for health care expenses. Because HSAs and HSA-eligible plans are new, there is interest in the experiences of plan enrollees, as well as in comparing the plan features and enrollee characteristics with those of traditional plans, such as preferred provider organization (PPO) plans. GAO reviewed (1) the financial features of HSA-eligible plans in comparison with those of traditional plans, (2) the characteristics of HSA-eligible plan enrollees in comparison with those of traditional plan enrollees, (3) HSA funding and use, and (4) enrollees' experiences with HSA-eligible plans. GAO analyzed data regarding HSA-eligible and traditional plans and enrollees from national employer health benefits surveys, three selected employers, and a national broker of health insurance. GAO compared Internal Revenue Service (IRS) data for tax
Download or read book Health Savings Accounts written by United States. Congress. Senate. Committee on Finance. Subcommittee on Health Care and published by . This book was released on 2006 with total page 268 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Demand for High Deductible and Consumer Directed Health Plans written by Melinda Beeuwkes Buntin and published by . This book was released on 2007 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Enrollment in "consumer-directed" health insurance plans - plans with high deductibles that are frequently coupled with personal savings accounts - has soared over the past four years and now exceeds 5 million. Approximately a third of firms offering health insurance benefits now offer a high-deductible plan and another third say they are interested in doing so. At the same time, prior studies have found that consumers prefer low-deductible plans, say they are willing to pay a premium for them, and are less satisfied when enrolled in high-deductible plans. This paper explores the determinants of enrollment in consumer-directed plans using data from a survey of 40 employers offering high-deductible plans. The sample of employers was stratified by the level of the deductible, the type of account offered (if any), and level of employer contributions to the account. The survey asks the employers for detailed information about their plan offerings, plan benefit designs, and enrollment levels; this includes information about both their consumer-directed option and any traditional HMOs or PPOs they may offer. It also asks about their consumer-directed plan implementation strategy and about resources available to help employees choose the best plan for them. We explored the factors associated with higher levels of enrollment when consumer-directed plans are offered alongside other options. These included three types of variables motivated by economic theory: 1) financial variables including plan benefit design elements such as deductible levels and employer contributions towards accounts; 2) behavioral variables such as requiring employees to make a proactive choice of plan each year; 3) information provision through employee communications. We find that factors within all three types of variables are important predictors of enrollment levels. We interpret our results about enrollment elasticities cautiously given our sample size, but do discuss the relative magnitudes of these effects and their implications.
Download or read book Gao 06 798 Consumer directed Health Plans written by United States Government Accountability Office and published by Createspace Independent Publishing Platform. This book was released on 2018-01-29 with total page 44 pages. Available in PDF, EPUB and Kindle. Book excerpt: GAO-06-798 Consumer-Directed Health Plans: Early Enrollee Experiences with Health Savings Accounts and Eligible Health Plans
Download or read book Factors for Selecting a Consumer Directed Health Care Plan written by David William Jordan and published by . This book was released on 2013 with total page 212 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health Reimbursement Arrangements (HRAs) and Health Savings Account (HSA) eligible High Deductible Health Plans (HDHPs) emerged as a new health care insurance models referred to as Consumer Directed Health Plans (CDHPs) in the early 2000s. The purpose of this study is to examine the association between enrollees' prior financial experiences as they relate to health care access and use with plan choice when a Managed Care Preferred Provider Organization (PPO), HRA, and HSA eligible HDHP are offered concurrently in an ESI program. It is important to examine new health insurance structures, such as CDHPs, to better understand their impact on enrollees' choice of health plan. Factors that determine enrollees' plan choice can influence the distribution of socio-economic, health risk, and behavioral characteristics across plans. These factors in turn can affect the financial costs, risk pools, and long-term solvency of such plans. The theoretical framework used in this study is adapted from Andersen's behavioral model and suggests economic enabling resources, self-perceived need for health care, predisposing characteristics, and plan cost characteristics are significant factors in Managed Care verses CDHP choice. First, descriptive statistics are used to describe the enrollee population relative to available plans. Then, multivariate analyses are used to examine hypotheses developed to examine employee earnings, prior Flexible Spending Account (FSA) participation, prior total cost sharing and Relative Risk Scores (RRS). Findings suggest first that CDHPs benefit from favorable selection, however the type of CDHP is a critical factor in the dynamics of plan choice. It is important not to categorize different forms of HRAs and HSA eligible HDHPs generically as CDHPs, but treat them as unique based upon their cost and administrative characteristics. Second, enrollees appear to select a plan that minimizes their future financial exposure based on past ESI experiences. Finally, CDHP choice and enrollee earnings may not have a simple linear relationship as suggested by prior research. Plan choice may depend largely on the dynamics between factors of economic resources, perceived need, and plan cost characteristics.
Download or read book The 2nd Annual EBRI Commonwealth Fund Consumerism in Health Care Survey 2006 written by Paul Fronstin and published by . This book was released on 2006 with total page 47 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Consumer directed Health Plans written by United States. Government Accountability Office and published by . This book was released on 2006 with total page 39 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Characteristics of the Population with Consumer Driven and High Deductible Health Plans 2005 2014 written by Paul Fronstin and published by . This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This paper examines the population with a consumer-driven health plan (CDHP) and how it has differed from the population with traditional health coverage. Data from the 2005-2007 EBRI/Commonwealth Fund Consumerism in Health Care Survey and the 2008-2014 EBRI/Greenwald & Associates Consumer Engagement in Health Care Survey (CEHCS) were used for the analysis. Differences between the populations with traditional coverage and those with high-deductible health plans (HDHPs) were also examined. The populations of adults within consumer-driven health plans (CDHPs), high-deductible health plans (HDHPs) and traditional health plans were each split about 50-50 between men and women in 2014. CDHP enrollees were less likely than those with traditional coverage to be between the ages of 21 and 34 in 2014, and more likely to be ages 45-54. CDHP enrollees were more likely than traditional-plan enrollees to be in households with $150,000 or more in income in every year except 2006, 2009, and 2010. They were also more likely to be in households with $100,000-$149,999 in income in most years. They were roughly twice as likely as individuals with traditional coverage to have college or postgraduate educations in nearly all years of the survey. With the exception of 2007, the survey has never found differences in self-rated health status between HDHP enrollees and individuals with traditional coverage. In contrast, in nine out of 10 years of the survey (2009 was the exception), it was found that CDHP enrollees were more likely than traditional-plan enrollees to report excellent or very good health. In the earlier years of the survey (2005-2009), the CDHP population was more likely than the population with traditional coverage to have that coverage through small employers (between two and 49 employees). More recently (2010-2014), there were few statistically significant differences by employer size between the CDHP population and the population with traditional coverage. When comparing HDHP enrollees with traditional-plan enrollees, it was found that, in all years of the survey except 2007, HDHP enrollees were less likely than traditional-plan enrollees to work for large employers (500 or more employees). They were more likely to work for small employers in all years of the survey except for 2010.
Download or read book Care Without Coverage written by Institute of Medicine and published by National Academies Press. This book was released on 2002-06-20 with total page 213 pages. Available in PDF, EPUB and Kindle. Book excerpt: Many Americans believe that people who lack health insurance somehow get the care they really need. Care Without Coverage examines the real consequences for adults who lack health insurance. The study presents findings in the areas of prevention and screening, cancer, chronic illness, hospital-based care, and general health status. The committee looked at the consequences of being uninsured for people suffering from cancer, diabetes, HIV infection and AIDS, heart and kidney disease, mental illness, traumatic injuries, and heart attacks. It focused on the roughly 30 million-one in seven-working-age Americans without health insurance. This group does not include the population over 65 that is covered by Medicare or the nearly 10 million children who are uninsured in this country. The main findings of the report are that working-age Americans without health insurance are more likely to receive too little medical care and receive it too late; be sicker and die sooner; and receive poorer care when they are in the hospital, even for acute situations like a motor vehicle crash.
Download or read book Health Care Spending After Adopting a Full Replacement High Deductible Health Plan With a Health Savings Account written by Paul Fronstin and published by . This book was released on 2013 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This paper reports experience over five years from a single large employer in the Midwestern United States that adopted a high-deductible health plan with a health savings account (HSA) for all employees. This study represents one of the longest observation periods reported with a full-replacement consumer-directed health plan (CDHP), and it is one of the few studies with a matched control group. In the first year of the HSA, the employer's aggregate health care spending was reduced by $527 per person. Results show that spending was reduced significantly in the inaugural year of the HSA plan in medical, pharmacy, and total-claims categories. Further, the magnitude of the cost savings was greatest in this first year but the cost savings continued over the succeeding three years albeit at a slower pace. The introduction of the full-replacement HSA plan reduced total spending by 25 percent in the first year. Each category of health spending experienced statistically significant reductions in the first year of the HSA plan with the exception of spending on inpatient hospital stays. Spending on laboratory services and prescription drugs had the largest statistically significant declines (36 percent and 32 percent, respectively). When examining the spending components separately, only pharmacy and laboratory spending were statistically significantly lower throughout the entire four years after the HSA plan was adopted. Reductions in pharmacy spending were large and mostly sustained over the four years after the HSA was adopted. In the first year of the HSA, pharmacy-spending reductions were 40-47 percent for individuals in all but the highest quintile of spending. When spending by pre-HSA quintile was examined, the largest spending effects in the first year of the HSA were seen in the third and fourth quintiles. The highest pre-HSA quintile group experienced spending reductions in the first year of the HSA that were not sustained. The second HSA-plan year showed total spending was reduced only in the second and fourth quintiles. By the fourth year, the HSA plan reduced pharmacy spending in the fourth quintile; only the third quintile continued to have reduced spending as compared with the year before the HSA plan was adopted. This study adds to the consumer-directed-health-plan literature by reporting changes in spending during the four years after an HSA plan was adopted and showing that, in one employer, spending reductions eroded over time and that reductions varied by pre-replacement levels of health spending. The data suggest that the highest users were least affected and that moderate users were most vulnerable. The data did not allow for distinguishing discretionary from necessary services utilization. This is essential for understanding the value of account-based, high-deductible plans.
Download or read book Consumer directed Health Plans written by Philip Ellis and published by . This book was released on 2006 with total page 104 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book ConsumerDirected Health Plans Health Status Spending and Utilization of Enrollees in Plans Based on Health Reimbursement Arrangements written by and published by DIANE Publishing. This book was released on with total page 47 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Integration and Innovation Orient to E Society Volume 1 written by Weijun Wang and published by Springer. This book was released on 2007-12-31 with total page 697 pages. Available in PDF, EPUB and Kindle. Book excerpt: The IFIP series publishes state-of-the-art results in the sciences and technologies of information and communication Proceedings and post-proceedings of referred international conferences in computer science and interdisciplinary fields are featured. These results often precede journal publication and represent the most current research. The principal aim of the IFIP series is to encourage education and the dissemination and exchange of information about all aspects of computing.
Download or read book Health Care Utilization as a Proxy in Disability Determination written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2018-04-02 with total page 161 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Social Security Administration (SSA) administers two programs that provide benefits based on disability: the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. This report analyzes health care utilizations as they relate to impairment severity and SSA's definition of disability. Health Care Utilization as a Proxy in Disability Determination identifies types of utilizations that might be good proxies for "listing-level" severity; that is, what represents an impairment, or combination of impairments, that are severe enough to prevent a person from doing any gainful activity, regardless of age, education, or work experience.
Download or read book WHAT S THE COST PROPOSALS TO PROVIDE CONSUMERS WITH BETTER INFORMATION ABOUT HEALTHCARE SERVICE COSTS SERIAL NO 109 70 MARCH 15 2006 109 2 HEARING written by and published by . This book was released on 2006 with total page 136 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book The Fragmentation of U S Health Care written by Einer Elhauge and published by Oxford University Press, USA. This book was released on 2010 with total page 397 pages. Available in PDF, EPUB and Kindle. Book excerpt: Why is the American health care system so fragmented in the care it gives patients? This title approaches this question and more with a highly interdisciplinary approach. The articles included in the work address legal and regulatory issues, including laws that mandate separate payments for each provider.
