Total and out-of-pocket expenditures among women with metastatic breast cancer in low-deductible versus high-deductible health plans.

ABSTRACT: PURPOSE:High-deductible health plan (HDHP) enrollment is expanding rapidly and might substantially increase out-of-pocket (OOP) payment burden. We examined trends in total and OOP health service expenditures overall and by insurance coverage type among women with metastatic breast cancer. METHODS:We used a longitudinal time series design to examine measures among 5364 women with metastatic breast cancer insured by a large US health insurer from 2004 to 2011. We measured outcomes during the 12 months after a first identified metastatic breast cancer diagnosis and required women to have at least 6 months of prior enrollment. We plotted enrollment measures and adjusted total and OOP spending. We fit trend lines using linear autoregressive models. RESULTS:Between 2004 and 2011, the percentage

SUBMITTER: Leopold C 

PROVIDER: S-EPMC6190701 | biostudies-literature | 2018 Sep

REPOSITORIES: biostudies-literature