The Association between High-Deductible Health Plan Transition and Contraception and Birth Rates.

ABSTRACT:

Objective

To evaluate the association between employer-mandated enrollment into high-deductible health plans (HDHPs) and contraception and birth rates among reproductive-age women.

Data sources/study setting

Using data from 2002 to 2008, we examined 1,559 women continuously enrolled in a Massachusetts health plan for 1 year before and after an employer-mandated switch from an HMO to a HDHP, compared with 2,793 matched women contemporaneously enrolled in an HMO.

Study design

We used an individual-level interrupted time series with comparison series design to examine level and trend changes in clinician-provided contraceptives and a differences-in-differences design to assess annual birth rates.

Data collection/extraction methods

Employer, plan, and member charac

SUBMITTER: Graves AJ 

PROVIDER: S-EPMC4722206 | biostudies-literature | 2016 Feb

REPOSITORIES: biostudies-literature