As a result, overall health care spending would be expected to decrease. In theory, such consumers will demand higher quality services at a lower cost and use less unnecessary care. To meet the federal standards for an HDHP in 2009, the deductible must be at least $1,150 for an individual and $2,300 for a family. The goal of increasing the number of employees in high deductible health plans (HDHPs) is to make enrollees more cost conscious about health care because they are paying more out of pocket than in traditional health plans. Read more belowīased on strong evidence from the literature, we expect that increased cost sharing will result in reductions in health spending. Lower spending observed in HDHPs may be the result of favorable selection, that is, may attract a higher proportion of healthier enrollees.Health savings accounts in conjunction with HDHPs may blunt the decreases in health spending associated with higher cost sharing in health plans.Multiple studies confirm that individuals use less health care when faced with health plans requiring higher cost sharing, such as HDHPs.Based on strong evidence from the literature, we expect that increased cost sharing will result in some reductions in health spending.Increased cost sharing by employees will reduce health care spending: These are the nine performance dimensions against which we measured High Deductible Health Plans: Many such plans are accompanied by a savings option that allows people to set aside pretax dollars to be used to meet out-of-pocket health care expenses up to their deductible. A fee-for-service insurance plan with a deductible that is larger than the deductible for more standard indemnity plans (in 2009 the federal standard is $1,150 per year or more for single coverage $2,300 or more for families).
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