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dc.contributor.authorWharam, James Franklin
dc.contributor.authorSoumerai, Steve
dc.contributor.authorTrinacty, Connie
dc.contributor.authorEggleston, Emma
dc.contributor.authorZhang, Fang
dc.contributor.authorLeCates, Robert F.
dc.contributor.authorCanning, Claire
dc.contributor.authorRoss-Degnan, Dennis
dc.date.accessioned2013-11-04T19:52:48Z
dc.date.issued2013
dc.identifier.citationWharam, 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.issn1545-1151en_US
dc.identifier.urihttp://nrs.harvard.edu/urn-3:HUL.InstRepos:11266833
dc.description.abstractConsumer-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.isoen_USen_US
dc.publisherCenters for Disease Control and Preventionen_US
dc.relation.isversionofdoi:10.5888/pcd10.120147en_US
dc.relation.hasversionhttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC3562172/pdf/en_US
dash.licenseLAA
dc.titleImpact of Emerging Health Insurance Arrangements on Diabetes Outcomes and Disparities: Rationale and Study Designen_US
dc.typeJournal Articleen_US
dc.description.versionVersion of Recorden_US
dc.relation.journalPreventing Chronic Diseaseen_US
dash.depositing.authorWharam, James Franklin
dc.date.available2013-11-04T19:52:48Z
dc.identifier.doi10.5888/pcd10.120147*
dash.contributor.affiliatedLeCates, Robert
dash.contributor.affiliatedCanning, Claire
dash.contributor.affiliatedWharam, James
dash.contributor.affiliatedTrinacty, Connie
dash.contributor.affiliatedRoss-Degnan, Dennis
dash.contributor.affiliatedZhang, Fang


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