Assessing the Implications of Patient Cost-Sharing and Care Patterns for Benefit Design, Phase 1


With the retreat from managed care, employers and health insurance plans are turning more and more to patient cost-sharing as a way to control rising health care expenses. In some cases, patients are put at such financial risk that it may be limiting their ability to adhere to recommended care. For this project, the investigators will examine the claims database of a large private health insurance carrier to assess the impact of various cost-sharing models, focusing on patients who have high-cost chronic conditions or low income. The grant, which will cofund the first 15 months of a two-year project, will help inform the design of public and private health insurance that meets the financial needs of vulnerable populations.

Grant Details

Grantee Organization:
Health Research and Educational Trust
Principal Investigator:
Jon R. Gabel and Thomas Rice, Ph.D.
Award Amount:
Approval Date:
November 11, 2003

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