Study: Poorer High-Deductible Plan Members May Skip Needed ED Care

Patients with low socioeconomic status enrolled in a high-deductible health plan may skip needed emergency care due to high out-of-pocket costs, which may lead to higher rates of hospitalization, according to a study in Health Affairs.

Advertisement

Researchers studied ED visits and hospitalizations of people enrolled in a high-deductible plan through small employers in Massachusetts over two years. The number of high-severity ED visits among enrollees of low socioeconomic status decreased 25 to 30 percent over both years. The number of hospitalizations of these patients decreased by 23 percent in the first year but increased to initial levels in the second year.

In contrast, high-deductible plan members of high socioeconomic status responded appropriately to their plan by reducing only low-severity ED visits.

The authors suggested policymakers and employers should educate high-deductible plan members, identify members at higher risk of avoiding necessary care and consider implementing means-based deductibles to limit deductibles for patients of low socioeconomic status.

More Articles on ED Utilization:

ER Wait Times Rise, Albeit Unequally, Across Nation
The Anatomy of a Successful ED Redesign
New Initiative to Help Safety Net Providers Build Capacity for Newly Insured

At the Becker's 11th Annual IT + Revenue Cycle Conference: The Future of AI & Digital Health, taking place September 14–17 in Chicago, healthcare executives and digital leaders from across the country will come together to explore how AI, interoperability, cybersecurity, and revenue cycle innovation are transforming care delivery, strengthening financial performance, and driving the next era of digital health. Apply for complimentary registration now.

Register to Attend Webinar

From fragmentation to operational flow: Solving the healthcare workforce puzzle

Tuesday, August 11
1:00 PM - 2:00 PM CDT

Presenters: Dr. Pat Hunt, QGendaAndrea Daugherty, MHA, CISSP, CHCIO, CDH-E, Arrowhead Regional Medical CenterElizabeth Lindsay-Wood, MBA, CHCIO, CDH-E, Moffitt Cancer CenterDeb Muro, El Camino HealthJohn Tejeda, D.H.A., MLS, MPAS, DFAAPA, LSSBB, FACHE, Vascular and Neuroscience Institute

Advertisement

Next Up in Care Coordination

Advertisement

Comments are closed.