Some health plans have experimented with increasing consumer cost sharing, on the theory that consumers will use less unnecessary health care if they are expected to bear some of the financial responsibility for it. However, it is unclear whether the resulting decrease in use is sustained beyond one or two years.
In 2004 Mayo Clinic’s self-funded health plan increased cost sharing for its employees and their dependents for specialty care visits (adding a $25 copayment to the high premium option) and other services such as imaging, testing and outpatient procedures (adding 10 or 20% coinsurance, depending on the option). The plan also removed all cost sharing for visits to primary care providers and for preventive services such as colorectal screening and mammography. The result was large decreases in the use of diagnostic testing and outpatient procedures that were sustained for four years, and an immediate decrease in the use of imaging that later rebounded (possibly to levels below the expected trend). Beneficiaries decreased visits to specialists but did not make greater use of primary care services.
These results suggest that implementing relatively low levels of cost sharing can lead to a long-term decrease in utilization.
This study was not funded by the Robert Wood Johnson Foundation, but is being made available as an additional resource on this topic.
- 1 How the Health and Community Development Sectors are Combining Forces to Improve Health and Well-Being
- 2 Community Development Efforts Offer a Major Opportunity to Advance Americans' Health
- 3 Partnerships Among Community Development, Public Health, and Health Care Could Improve the Well-Being of Low-Income People
- 4 Despite Obstacles, Considerable Potential Exists for More Robust Federal Policy on Community Development and Health
- 5 Bringing Researchers and Community Developers Together to Revitalize a Public Housing Project and Improve Health
- 6 Community Health Centers and Community Development Financial Institutions
- 7 Training New Community Health, Food Service, and Environmental Protection Workers Could Boost Health, Jobs, and Growth
- 8 The PROMETHEUS Bundled Payment Experiment
- 9 Mayo Clinic Employees Responded to New Requirements for Cost Sharing by Reducing Possibly Unneeded Health Services Use
- 10 Gaps in Residency Training Should be Addressed to Better Prepare Doctors for a Twenty-First-Century Delivery System
- 11 How the National Prevention Council Can Overcome Key Challenges and Improve Americans' Health
- 12 Evolving Brand-Name and Generic Drug Competition May Warrant a Revision of the Hatch-Waxman Act
- 13 Strengthening Children's Oral Health
This is the agenda for the June 19, 2013 RWJF Commission to Build a Healthier America public meeting.
The RWJF Roadmaps to Health Prize honors outstanding community partnerships which are helping people live healthier lives. The six winners w...
Learn how to improve care transitions and prevent avoidable hospital readmissions, and pick up nursing and medical education con-ed credits.
The reconvened Commission to Build a Healthier America will provide new guidance in two key areas: early childhood and healthy communities.
Mildred Dalton Manning, the last surviving member of a group of U.S. Army and Navy nurses taken prisoner in the Philippines at the start of ...
The full list of commissioners for the re-convened Commission to Build a Healthier America, led by Mark McClellan and Alice Rivlin.
Community college students in New Mexico will be able to remain in their home communities and complete BSNs through the collaborative effort...
Pioneer Program Officer Lori Melichar discusses using social network insights to solve perplexing health and health care problems.
Public Health News Roundup: May 21
A new study in the American Journal of Public Health found that there are laws dealing with traumatic brain injuries in youth sports in 44 s...
A study finds that 96 percent of nurse practitioners and 76 percent of physicians agreed with IOM report recommendation that “nurse practiti...