scholarly journals Do “Consumer-Directed” Health Plans Bend the Cost Curve Over Time?

2015 ◽  
Author(s):  
Amelia Haviland ◽  
Matthew Eisenberg ◽  
Ateev Mehrotra ◽  
Peter Huckfeldt ◽  
Neeraj Sood
2016 ◽  
Vol 46 ◽  
pp. 33-51 ◽  
Author(s):  
Amelia M. Haviland ◽  
Matthew D. Eisenberg ◽  
Ateev Mehrotra ◽  
Peter J. Huckfeldt ◽  
Neeraj Sood

2011 ◽  
Vol 14 (2) ◽  
Author(s):  
Amelia M. Haviland ◽  
Neeraj Sood ◽  
Roland D. McDevitt ◽  
M. Susan Marquis

Past research has shown that high deductible and consumer-directed health plans (HD/CDHPs) can significantly reduce health care costs. In this paper we investigate how these cost savings are realized. We use panel data from many large employers and difference in difference models to examine how HD/CDHPs affect the number of health care episodes and the cost per episode. Our results show that about two-thirds of the cost savings from HD/CDHP enrollment are from reductions in number of episodes and the remaining one-third of the savings are from reductions in costs per episode. The presence of a Health Reimbursement Arrangement (HRA) or Health Savings Account (HSA) does not temper the effects of high deductibles on number of episodes. However, enrollees in plans with generous employer contributions to HSAs have more episodes of care than enrollees in plans where employers make smaller account contributions. The reductions in costs per episode and in visits to specialists, inpatient care, and use of non-generic pharmaceuticals suggest that higher deductibles are effective at making patients more cost conscious even after care is initiated.


2003 ◽  
Author(s):  
M. Spano ◽  
P. Toro ◽  
M. Goldstein
Keyword(s):  
The Cost ◽  

Author(s):  
Matthew Hindman

The Internet was supposed to fragment audiences and make media monopolies impossible. Instead, behemoths like Google and Facebook now dominate the time we spend online—and grab all the profits from the attention economy. This book explains how this happened. It sheds light on the stunning rise of the digital giants and the online struggles of nearly everyone else—and reveals what small players can do to survive in a game that is rigged against them. The book shows how seemingly tiny advantages in attracting users can snowball over time. The Internet has not reduced the cost of reaching audiences—it has merely shifted who pays and how. Challenging some of the most enduring myths of digital life, the book explains why the Internet is not the postindustrial technology that has been sold to the public, how it has become mathematically impossible for grad students in a garage to beat Google, and why net neutrality alone is no guarantee of an open Internet. It also explains why the challenges for local digital news outlets and other small players are worse than they appear and demonstrates what it really takes to grow a digital audience and stay alive in today's online economy. The book shows why, even on the Internet, there is still no such thing as a free audience.


2016 ◽  
Vol 7 (3) ◽  
pp. 126-129 ◽  
Author(s):  
Sreenivas Koka ◽  
Galya Raz

What does ‘value’ mean? In the context of dental care, it can be defined as the quality of care received by a patient divided by the cost to the patient of receiving that care. In other words: V =Q/C, where Q equals the quality improvement over time, which most patients view in the context of the outcome, the service provided and safety/risk management, and C equals the financial, biological and time cost to the patient. Here, the need for, and implications of, value-based density for clinicians and patients alike are explored.


2011 ◽  
Vol 204-210 ◽  
pp. 1415-1418
Author(s):  
De Jiang Zhang ◽  
Na Na Dong ◽  
Xiao Mei Lin

By studying the conventional algorithm of contour extraction, a new method of contour extraction in blood vessel of brain is proposed based on the MOC maximum optimization cost. First of all, the theory computes the gray differential of the image by conventional differential method to build the cost space. Then, by using dynamic programming theory, the maximum optimization cost curve in the space is extracted to serve as the specific cerebrovascular profile. The experiments show that this method ensures high efficiency in extracting cerebrovascular contour and a high accuracy in positioning cerebrovascular contour, and it diminishes the target image ambiguity caused by noise to improve the anti-interference ability of Contour extraction.


JAMA ◽  
2012 ◽  
Vol 307 (10) ◽  
pp. 1031 ◽  
Author(s):  
Katrina Armstrong
Keyword(s):  

PEDIATRICS ◽  
2017 ◽  
Vol 139 (3) ◽  
pp. e20164016
Author(s):  
Alison Volpe Holmes ◽  
Michele Long ◽  
James Stallworth
Keyword(s):  

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