by Salynn Boyles: For More Info, Go Here…
Patients forgo routine care, and then end up in the ER or hospital bed.
Patients with chronic obstructive pulmonary disease (COPD) insured with high-deductible plans were more likely to skip needed medications and other care because of their high cost, according to an analysis of National Health Interview Survey (NHIS) data presented here.
Those with high insurance deductibles were twice as likely to report forgoing care due to cost than survey respondents with more traditional insurance plans, both in the raw NHIS data and after adjustments for patient characteristics including behavioral factors and comorbidities.
Yet, high-deductible plans were also associated with more healthcare utilization in the form of emergency department visits and hospital admissions for COPD patients, according to Adam Gaffney, MD, of Harvard Medical School in Boston.