Patient Cost-Sharing and Healthcare Spending Growth

被引：104

作者：

Baicker, Katherine ^{[1
]}

Goldman, Dana ^{[2
,3
]}

机构：

[1] Harvard Univ, Sch Publ Hlth, Dept Hlth Policy & Management, Boston, MA 02115 USA

[2] Univ So Calif, Los Angeles, CA USA

[3] RAND Corp, Santa Monica, CA USA

来源：

JOURNAL OF ECONOMIC PERSPECTIVES | 2011年 / 25卷 / 02期

关键词：

In this paper; we explore the role patient incentives play in slowing healthcare spending growth. Evidence suggests that while patients do indeed respond to financial incentives; cost-sharing does not uniformly improve value; rather; cost-sharing provisions must be deliberately structured and targeted to reduce care of low marginal value. Other mechanisms may be helpful in targeting particular populations or types of utilization. The spillover effects between privately insured and publicly insured populations as well as market imperfections suggest a potential role for public policy in promoting insurance design that slows spending growth while increasing the health that each dollar buys; VALUE-BASED INSURANCE; MEDICARE-PART-D; MANAGED CARE; MORAL HAZARD; MAINTENANCE ORGANIZATION; REGIONAL-VARIATIONS; PHARMACY BENEFITS; DRUG-USE; COPAYMENTS; DISEASE;

D O I：

10.1257/jep.25.2.47

中图分类号：

F [经济];

学科分类号：

02 ;

摘要：

引用

页码：47 / 68

页数：22

共 62 条

[1] What The Oregon Health Study Can Tell Us About Expanding Medicaid [J].

Allen, Heidi ;

Baicker, Katherine ;

Finkelstein, Amy ;

Taubman, Sarah ;

Wright, Bill J. .

HEALTH AFFAIRS, 2010, 29 (08) :1498-1506

[2]

[Anonymous], 2009, AMERICAS UNINSURED C

[3]

[Anonymous], LONG TERM BUDG OUTL

[4]

[Anonymous], EMPL HLTH BEN 2010 A

[5] Medicare spending, the physician workforce, and beneficiaries' quality of care [J].

Baicker, K ;

Chandra, A .

HEALTH AFFAIRS, 2004, 23 (03) :W4184-W4197

[6] Geographic variation in the appropriate use of cesarean delivery [J].

Baicker, Katherine ;

Buckles, Kasey S. ;

Chandra, Amitabh .

HEALTH AFFAIRS, 2006, 25 (05) :W355-W367

[7] Managed care, health care quality, and regulation [J].

Baker, LC ;

McClellan, MB .

JOURNAL OF LEGAL STUDIES, 2001, 30 (02) :715-741

[8] Managed care and technology diffusion: The case of MRI [J].

Baker, LC ;

Wheeler, SK .

HEALTH AFFAIRS, 1998, 17 (05) :195-207

[9]

BAKER LC, 1997, HEALTH ECON, V16, P453

[10] Patient Cost-Sharing and Hospitalization Offsets in the Elderly [J].

Chandra, Amitabh ;

Gruber, Jonathan ;

McKnight, Robin .

AMERICAN ECONOMIC REVIEW, 2010, 100 (01) :193-213

← 1 2 3 4 5 6 7 →