Abstract
This cross-sectional study uses data from the 2013-2018 National Health Interview Survey to examine the association between enrollment in a high-deductible health plan and access to care among cancer survivors differentiated by race/ethnicity.
Highlights
Enrollment in high-deductible health plans (HDHPs), which increased from 8% in 2009 to 30% in 2019 among people with employer-sponsored coverage,[1] is associated with less use of health care, including cancer screening and treatment.[2,3] High-deductible health plans may have greater consequences for racial/ethnic minorities, given evidence that other forms of cost sharing contribute to disparities in care.[4]
Compared with cancer survivors not enrolled in an HDHP, cancer survivors enrolled in an HDHP were more likely to be non-Hispanic white individuals (1481 of 1646 [90.0%] vs 1783 of 2067 [86.3%]) and less likely to have diabetes (195 of 1646 [11.8%] vs 321 of 2067 [15.5%]) or hypertension (638 of 1646 [38.8%] vs 900 of 2067 [43.5%]) (Table 1); other characteristics were statistically similar
Forty-four percent of privately insured cancer survivors were enrolled in an HDHP during the study period (2013-2018), this percentage ranged from 37% in 2013 to 50% in 2018
Summary
Enrollment in high-deductible health plans (HDHPs), which increased from 8% in 2009 to 30% in 2019 among people with employer-sponsored coverage,[1] is associated with less use of health care, including cancer screening and treatment.[2,3] High-deductible health plans may have greater consequences for racial/ethnic minorities, given evidence that other forms of cost sharing contribute to disparities in care.[4]. This study examined the differential association between HDHP enrollment and access to care by race/ethnicity among cancer survivors, a population that often faces substantial cost-related barriers to care.[5]
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
