High-Deductible Health Plans and Receipt of Guideline-Concordant Care for Adults With Chronic Illness.

ABSTRACT:

Importance

High-deductible health plans (HDHPs) are a common insurance mechanism.

Objective

To evaluate whether HDHPs are meeting the medical needs of persons with chronical illness.

Design, setting, and participants

This longitudinal cohort study used 2016 to 2019 national administrative and claims data from MarketScan. Cohort members were adults aged 18 to 64 years with asthma, diabetes, hypertension, coronary artery disease, heart failure, or major depressive disorder. The treatment group was persons newly enrolling in an HDHP; the control group was persons continuously enrolled in non-HDHPs. Data were analyzed from October 2022 to April 2024, with revisions conducted between December and January 2025.

Exposure

New enrollment in an HDHP was instrumented by f

SUBMITTER: Gidwani R 

PROVIDER: S-EPMC12044513 | biostudies-literature | 2025 Apr

REPOSITORIES: biostudies-literature