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How high is too high?: Implications of high-deductible health plans
How high is too high?: Implications of high-deductible health plans
The move toward high-deductible health plans (HDHPs) was given impetus by 2003 legislation granting tax preferences to funds set aside to pay for out-of-pocket medical expenses conditional on enrollment in a plan having a minimum deductible of $1,000 for individuals and $2,000 for families. The major purported advantages of HDHPs are that they will a) lower health care costs by causing patients to be more cost-conscious, and b) make insurance premiums more affordable for the uninsured. This report, based on the Commonwealth Fund Biennial Health Insurance Survey (2003), finds that such plans are unlikely to have a substantial effect on either costs or coverage. Furthermore, HDHPs can undermine the basic purposes of health insurance: to reduce financial barriers to needed care and protect against financial hardship. The authors suggest legislative modifications to protect lower-wage adults and ensure access to early preventive and primary care.
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