Abstract：
INTRODUCTION:This study aims to quantify out-of-pocket spending associated with respiratory hospitalizations for conditions similar to those caused by coronavirus disease 2019 and to compare out-of-pocket spending differences among those enrolled in consumer-directed health plans and in traditional, low-deductible plans. METHODS:This study used deidentified administrative claims from the OptumLabs Data Warehouse (January 1, 2016-August 31, 2019) to identify patients with a respiratory hospitalization. It compared unadjusted out-of-pocket spending among consumer-directed health plan enrollees with that among traditional plan enrollees using difference of mean significance tests and repeated the analysis separately by age category and calendar year quarter. These data were collected on a rolling basis by OptumLabs and were analyzed in March 2020. RESULTS:Commercially insured consumer-directed health plan enrollees had significantly higher out-of-pocket spending than traditional plan enrollees, and these differences were largest among younger populations. The largest difference in out-of-pocket spending occurred during the first half of the year. CONCLUSIONS:Consumer-directed health plan enrollees may experience differential financial burden from a hospitalization related to coronavirus disease 2019. Although some insurers are waiving cost-sharing payments for coronavirus disease 2019 treatment, self-insured employers remain exempt. As of now, policy responses may be insufficient to reduce the financial burden on consumer-directed health plans enrollees with respiratory hospitalizations related to coronavirus disease 2019.
journal_name
Am J Prev Medjournal_title
American journal of preventive medicineauthors
Eisenberg MD,Barry CL,Schilling CL,Kennedy-Hendricks Adoi
10.1016/j.amepre.2020.05.008subject
Has Abstractpub_date
2020-09-01 00:00:00pages
445-448issue
3eissn
0749-3797issn
1873-2607pii
S0749-3797(20)30231-2journal_volume
59pub_type
杂志文章abstract：:This paper describes the effectiveness of an incentive-based approach to screening for hypertension by comparing it to two more typical on-site screenings. In the "bounty system," adolescents were trained and certified in blood pressure assessment to enable them to conduct door-to-door blood pressure screenings. The y...
journal_title：American journal of preventive medicine
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journal_title：American journal of preventive medicine
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journal_title：American journal of preventive medicine
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journal_title：American journal of preventive medicine
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journal_title：American journal of preventive medicine
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