Variations in Health Care Utilization Patterns Among Inflammatory Bowel Disease Patients at Risk for High Medical Service Utilization Enrolled in High Deductible Health Plans.

Inflammatory Bowel Diseases
Jeffrey A BerinsteinPeter D R Higgins

Abstract

High-deductible health plans (HDHPs) are increasing in prevalence as a cost control device for slowing health care cost growth by reducing nonessential medical service utilization. High cost-sharing associated with HDHPs can lead to significant financial distress and worse disease outcomes. We hypothesize that chronic disease patients are delaying or foregoing necessary medical care due to health care costs. A retrospective cohort analysis of IBD patients at risk for high medical service utilization with continuous enrollment in either an HDHP or THP from 2009 to 2016 were identified using the MarketScan database. Health care costs were compared between insurance plan groups by Kruskal-Wallis test. Temporal trends in office visits, colonoscopies, emergency department (ED) visits, and hospitalizations were evaluated using additive decomposition time series analysis. Of 605,862 patients with a diagnosis of IBD, we identified 13,052 eligible patients. Annual out-of-pocket costs were higher in the HDHP group (n = 524) than the THP group (n = 12,458) ($2870 vs $1,864; P < 0.001) without any difference in total health care expenses ($23,029 vs $23,794; P = 0.583). Enrollment in an HDHP influenced colonoscopy, ED visit, and hospitaliz...Continue Reading

References

Jan 1, 1986·Health Care Management Review·R A ReidH L Smith
Jan 1, 1993·Journal of Health Care for the Poor and Underserved·E T BaumgartnerL Fuddy
May 19, 2001·Journal of Health and Social Behavior·L A Cubbins, P Parmer
Jun 18, 2003·The American Journal of Gastroenterology·Teresa LongobardiCharles N Bernstein
Feb 28, 2004·Gastroenterology·James D LewisBrian L Strom
Jan 29, 2005·Inflammatory Bowel Diseases·Sheetal R Marri, Alan L Buchman
Jul 9, 2008·Health Affairs·Jessica GreeneMarc L Berger
Mar 27, 2010·Health Services Research·Jean Marie AbrahamAnne Beeson Royalty
Oct 30, 2010·Health Services Research·Teresa M WatersDavid Mirvis
Feb 8, 2014·Digestive Diseases and Sciences·Seth D CrockettMichael D Kappelman
Jul 22, 2015·The American Journal of Gastroenterology·K T ParkAndrew Krueger
Feb 22, 2016·Journal of Gastroenterology·Shapur IkhtaireWaliul Islam Khan
Sep 21, 2016·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Julajak LimsrivilaiPeter D R Higgins
Dec 7, 2016·Health Affairs·Salam AbdusPatricia Keenan
Apr 14, 2017·JAMA Surgery·Chad M BrummettBrahmajee K Nallamothu
Nov 4, 2017·JAMA : the Journal of the American Medical Association·Ezekiel J EmanuelDavid Johnson
Oct 26, 2018·Journal of Clinical Gastroenterology·Antanina VoitAndrea C Bafford
Dec 15, 2018·Journal of Pain and Symptom Management·Raymond Javan ChanChristine Miaskowski
Jul 22, 2019·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Gary R LichtensteinRobert N Baldassano

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.