Linking cost sharing to value: an unrivaled yet unrealized public health opportunity.

Linking cost sharing to value: an unrivaled yet unrealized public health opportunity. Research Abstract Details 

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Linking cost sharing to value: an unrivaled yet unrealized public health opportunity. Abstract Text:

R Scott Braithwaite,Allison B Rosen,R Scott Braithwaite,Allison B Rosen,

As the financial burden of cost sharing continues to rise, patients increasingly avoid necessary care, thereby contributing to the high morbidity and mortality of the U.S. population compared with that of other developed countries. The rationale for cost sharing is often based on the moral hazard argument, which states that individuals may overuse care if they do not share in its costs. We evaluate this argument in detail, using it to distinguish between appropriate and inappropriate settings for cost sharing. Cost sharing may be appropriate when health services are of low value (low ratio of benefits to costs), whereas it is inappropriate when health services are of high value (high ratio of benefits to costs). In practice, cost sharing is rarely linked to value, and therefore much of the cost sharing that currently occurs is inappropriate and harmful. Cost-effectiveness analysis is an objective method to estimate the value of health services and may be a way to systematically evaluate whether cost-sharing policies are appropriate. Systematic efforts to discourage inappropriate cost sharing may improve public health.

Linking cost sharing to value: an unrivaled yet unrealized public health opportunity. Publishing Authors By Initials

RS Braithwaite,AB Rosen,RS Braithwaite,AB Rosen,

For similar geographic locations: americas: north america: united states research abstracts see: geographic locations: americas: north america: united states research

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Linking cost sharing to value: an unrivaled yet unrealized public health opportunity. Journal Published:

PUBLICATION TYPE: Research Support, N.I.H., Extr

Journal: Annals of internal medicine

VOLUME: 146

Page Numbers: 602-5

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ISSN: 1539-3704

DAY: 17

MONTH: Apr

YEAR: 2007

Linking cost sharing to value: an unrivaled yet unrealized public health opportunity. Information

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LANGUAGE: eng

NlmUniqueID: 372351

Linking cost sharing to value: an unrivaled yet unrealized public health opportunity. Keywords Mesh Terms:

KEYWORDS: United States

MESH TERMS: standards

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Grant and Affiliation Information for Linking cost sharing to value: an unrivaled yet unrealized public health opportunity.

AFFILIATION: Yale University School of Medicine and Veterans Affairs Connecticut Healthcare System, New Haven, Connecticut 06516, USA. ronald.braithwaite@va.gov

Country: United States

AGENCY: United States NIAAA

GRANT: K23 AA14483-01

ACRONYM: AA

MEDLINETA: Ann Intern Med

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