Health Affairs

Health Affairs, 27, no. 4 (2008): 1111-1119 doi: 10.1377/hlthaff.27.4.1111 © 2008 by Project HOPE	New Online   Getting Health Reform Done   After the State of the Union   Incremental Reform   E-Health in Developing World   Most-Read Articles in 2009

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The Impact Of Consumer-Directed Health Plans On Prescription Drug Use

Jessica Greene, Judith Hibbard, James F. Murray, Steven M. Teutsch and Marc L. Berger

There has been much debate over the merits of consumer-directed health plans (CDHPs), yet there is little empirical evidence of their influence on health care use. We examined patterns in prescription drug use in the first year that CDHPs were offered alongside traditional plans. Using pharmacy claims data from one large company, we found that enrollees in high-deductible CDHPs were much more likely than those with other coverage to discontinue two of five drug classes. Enrollment in a CDHP did not, however, reduce adherence among those continuing their medication, nor did it greatly influence the use of generic drugs.

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				A. Dixon, J. Greene, and J. Hibbard Do Consumer-Directed Health Plans Drive Change In Enrollees' Health Care Behavior? Health Aff., July 1, 2008; 27(4): 1120 - 1131. [Abstract] [Full Text] [PDF]