High Deductible Health Plans and Use of Free Preventive Services Under the Affordable Care Act.

ABSTRACT: The Affordable Care Act aimed to increase use of preventive services by eliminating cost-sharing to consumers. However, patients may be unaware of this benefit or they may not seek preventive services if they anticipate that the cost of potential diagnostic or treatment services will be too high, both more likely among those in high deductible health plans. We used nationally representative private health insurance claims (100% sample of IBM^® MarketScan^®) for the United States from 2006 to 2018, restricting the data to enrollment and claims for non-elderly adults who were enrolled for the full plan year. The cross-sectional sample (185 million person-years) is used to describe trends in preventive service use and costs from 2008 through 2016. The cohort sample (9 mill

SUBMITTER: Shafer PR 

PROVIDER: S-EPMC10278429 | biostudies-literature | 2023 Jan-Dec

REPOSITORIES: biostudies-literature