dc.contributor.author | Wharam, James Franklin | |
dc.contributor.author | Soumerai, Steve | |
dc.contributor.author | Trinacty, Connie | |
dc.contributor.author | Eggleston, Emma | |
dc.contributor.author | Zhang, Fang | |
dc.contributor.author | LeCates, Robert F. | |
dc.contributor.author | Canning, Claire | |
dc.contributor.author | Ross-Degnan, Dennis | |
dc.date.accessioned | 2013-11-04T19:52:48Z | |
dc.date.issued | 2013 | |
dc.identifier.citation | Wharam, J. Frank, Steve Soumerai, Connie Trinacty, Emma Eggleston, Fang Zhang, Robert LeCates, Claire Canning, and Dennis Ross-Degnan. 2013. Impact of emerging health insurance arrangements on diabetes outcomes and disparities: rationale and study design. Preventing Chronic Disease 10:E11. | en_US |
dc.identifier.issn | 1545-1151 | en_US |
dc.identifier.uri | http://nrs.harvard.edu/urn-3:HUL.InstRepos:11266833 | |
dc.description.abstract | Consumer-directed health plans combine lower premiums with high annual deductibles, Internet-based quality-of-care information, and health savings mechanisms. These plans may encourage members to seek better value for health expenditures but may also decrease essential care. The expansion of high-deductible health plans (HDHPs) represents a natural experiment of tremendous proportion. We designed a pre–post, longitudinal, quasi-experimental study to determine the effect of HDHPs on diabetes quality of care, outcomes, and disparities. We will use a 13-year rolling sample (2001–2013) of members of an HDHP and members of a control group. To reduce selection bias, we will limit participants to those whose employers mandate a single health insurance type. The study will measure rates of monthly hemoglobin A1c, lipid, and albuminuria testing; availability of blood glucose test strips; and rates of retinal examinations, high-severity emergency department visits, and preventable hospitalizations. Results could be used to design health plan features that promote high-quality care and better outcomes among people who have diabetes. | en_US |
dc.language.iso | en_US | en_US |
dc.publisher | Centers for Disease Control and Prevention | en_US |
dc.relation.isversionof | doi:10.5888/pcd10.120147 | en_US |
dc.relation.hasversion | http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3562172/pdf/ | en_US |
dash.license | LAA | |
dc.title | Impact of Emerging Health Insurance Arrangements on Diabetes Outcomes and Disparities: Rationale and Study Design | en_US |
dc.type | Journal Article | en_US |
dc.description.version | Version of Record | en_US |
dc.relation.journal | Preventing Chronic Disease | en_US |
dash.depositing.author | Wharam, James Franklin | |
dc.date.available | 2013-11-04T19:52:48Z | |
dc.identifier.doi | 10.5888/pcd10.120147 | * |
dash.contributor.affiliated | Trinacty, Connie | |
dash.contributor.affiliated | Zhang, Fang | |
dash.contributor.affiliated | Canning, Claire | |
dash.contributor.affiliated | LeCates, Robert | |
dash.contributor.affiliated | Wharam, James | |
dash.contributor.affiliated | Ross-Degnan, Dennis | |