High-deductible insurance plans affect complications, ED visits in diabetes patients
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Low-income patients with high-deductible health plans (HDHPs) may need extra interventions to prevent acute complications.
Why this matters
HDHPs have recently become the predominant commercial health insurance arrangement in the United States.
Controlled study using large national health insurer database from 2003-2012.
Total 12,084 HDHP members with diabetes enrolled for 1 year in a low-deductible ($500) plan followed by 2 years in an HDHP ($1000) after an employer-mandated switch were propensity-score matched with patients whose employers offered only low-deductible coverage.
Funding: Centers for Disease Control and Prevention, National Institute of Diabetes and Digestive and Kidney Diseases,
Mean out-of-pocket medical expenditures increased by 49.4% ($374.6) in HDHP group compared with co...