title: The effect of consumer-directed health plans on the use of preventive and chronic illness services.
abstract: We compared use of preventive, cancer screening, and diabetic monitoring services among 17,411 people who were continuously enrolled in a consumer-directed health plan (CDHP) for three years with a matched group of 128,444 people who were enrolled in a preferred provider organization (PPO). In the CDHPs, preventive and screening services were free. Levels and trends in use were similar between the two groups over the three years of follow-up. These results support varying the degree of cost sharing for services depending on the effect of the service on future health status and costs.
authors.affiliation: Columbia University, New York City, USA.
authors.forename: John W
authors.initials: JW
authors.lastname: Rowe
authors.forename: Tina
authors.initials: T
authors.lastname: Brown-Stevenson
authors.forename: Roberta L
authors.initials: RL
authors.lastname: Downey
authors.forename: Joseph P
authors.initials: JP
authors.lastname: Newhouse
mesh_terms: D000328:Adult; D002908:Chronic Disease / Q000191:economics / Q000517:prevention & control; D003258:Consumer Behavior / Q000191:economics*; D017047:Cost Sharing; D006264:Health Benefit Plans, Employee / Q000458:organization & administration*; D006801:Humans; D020402:Medical Savings Accounts; D008875:Middle Aged; D011243:Preferred Provider Organizations; D011314:Preventive Health Services / Q000191:economics / Q000706:statistics & numerical data*; D014481:United States