Diabetes Outpatient Care and Acute Complications Before and After High-Deductible Insurance Enrollment: A Natural Experiment for Translation in Diabetes (NEXT-D) Study.

ABSTRACT:

Importance

High-deductible health plans (HDHPs) have expanded under the Affordable Care Act and are expected to play a major role in the future of US health policy. The effects of modern HDHPs on chronically ill patients and adverse outcomes are unknown.

Objective

To determine the association of HDHP with high-priority diabetes outpatient care and preventable acute complications.

Design, setting, and participants

Controlled interrupted-time-series study using a large national health insurer database from January 1, 2003, to December 31, 2012. A total of 12 084 HDHP members with diabetes, aged 12 to 64 years, who were enrolled for 1 year in a low-deductible (≤$500) plan followed by 2 years in an HDHP (≥$1000) after an employer-mandated switch were included. Patients tr

SUBMITTER: Wharam JF 

PROVIDER: S-EPMC5538022 | biostudies-literature | 2017 Mar

REPOSITORIES: biostudies-literature