0

The full content of Annals is available to subscribers

Subscribe/Learn More  >
Articles |

Cancer Screening before and after Switching to a High-Deductible Health Plan

J. Frank Wharam, MB, BCh, BAO, MPH; Alison A. Galbraith, MD, MPH; Ken P. Kleinman, ScD; Stephen B. Soumerai, ScD; Dennis Ross-Degnan, ScD; and Bruce E. Landon, MD, MBA
[+] Article and Author Information

From Harvard Medical School, Harvard Pilgrim Health Care, and Beth Israel Deaconess Medical Center, Boston, Massachusetts.


Acknowledgment: The authors thank Fang Zhang, PhD, and Irina Miroshnik, MS, both from Harvard Medical School and Harvard Pilgrim Health Care Department of Ambulatory Care and Prevention, for their assistance in statistical analysis and interpretation in data collection, respectively. They also thank David Cochran, MD, Harvard Pilgrim Health Care's Senior Vice President of Strategic Development, for explanations about health plan data and technical support.

Grant Support: By a faculty grant funded by the Harvard Pilgrim Health Care Foundation.

Potential Financial Conflicts of Interest: Employment: J.F. Wharam (Harvard Pilgrim Health Care, Department of Ambulatory Care and Prevention), A.A. Galbraith (Department of Ambulatory Care and Prevention), K.P. Kleinman (Department of Ambulatory Care and Prevention), S.B. Soumerai (Department of Ambulatory Care and Prevention), D. Ross-Degnan (Department of Ambulatory Care and Prevention). Grants received: J.F. Wharam (Harvard Pilgrim Health Care), A.A. Galbraith (Harvard Pilgrim Health Care). Grants pending: J.F. Wharam (Harvard Pilgrim Health Care). The Department of Ambulatory Care and Prevention is jointly funded by Harvard Medical School and Harvard Pilgrim Health Care.

Reproducible Research Statement: Study protocol: Available from Dr. Wharam (e-mail, jwharam@partners.org). Statistical code and data set: Not available.

Requests for Single Reprints: J. Frank Wharam, MB, BCh, BAO, MPH, Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, 133 Brookline Avenue, 6th Floor, Boston, MA 02215; e-mail, jwharam@partners.org.

Current Author Addresses: Drs. Wharam, Soumerai, and Ross-Degnan: Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, 133 Brookline Avenue, 6th Floor, Boston, MA 02215.

Drs. Galbraith and Kleinman: Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, 133 Brookline Avenue, 3rd Floor, Boston, MA 02215.

Dr. Landon: Department of Healthcare Policy, Harvard Medical School, 180 Longwood Avenue, Boston, MA 02115.

Author Contributions: Conception and design: J.F. Wharam, A.A. Galbraith, K.P. Kleinman, D. Ross-Degnan, B.E. Landon.

Analysis and interpretation of the data: J.F. Wharam, A.A. Galbraith, K.P. Kleinman, S.B. Soumerai, D. Ross-Degnan, B.E. Landon.

Drafting of the article: J.F. Wharam.

Critical revision of the article for important intellectual content: J.F. Wharam, A.A. Galbraith, K.P. Kleinman, S.B. Soumerai, D. Ross-Degnan, B.E. Landon.

Final approval of the article: J.F. Wharam, A.A. Galbraith, K.P. Kleinman, S.B. Soumerai, D. Ross-Degnan, B.E. Landon.

Statistical expertise: J.F. Wharam, K.P. Kleinman.

Obtaining of funding: J.F. Wharam.

Administrative, technical, or logistic support: J.F. Wharam, S.B. Soumerai.

Collection and assembly of data: J.F. Wharam, A.A. Galbraith.


Ann Intern Med. 2008;148(9):647-655. doi:10.7326/0003-4819-148-9-200805060-00004
Text Size: A A A

Harvard Pilgrim Health Care is a health plan serving approximately 900 000 individuals in Massachusetts, Maine, and New Hampshire who are enrolled primarily through employer-sponsored plans. On 1 March 2002, Harvard Pilgrim Health Care began offering a high-deductible health plan with annual deductibles ranging from $500 to $2000 for individuals and $1000 to $4000 for families. Members of family plans also have an individual deductible equal to half their family deductible. Full coverage begins for members when they exceed their individual deductible or, for family members, when the family's combined expenses exceed the family deductible. Most institutional services (such as emergency department care and hospitalizations) and advanced imaging procedures are subject to the deductible. When a member of a high-deductible health plan spends less than the deductible, the member is billed directly for all services subject to the deductible.

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Letters

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Comments

Submit a Comment
Submit a Comment

Summary for Patients

Clinical Slide Sets

Terms of Use

The In the Clinic® slide sets are owned and copyrighted by the American College of Physicians (ACP). All text, graphics, trademarks, and other intellectual property incorporated into the slide sets remain the sole and exclusive property of the ACP. The slide sets may be used only by the person who downloads or purchases them and only for the purpose of presenting them during not-for-profit educational activities. Users may incorporate the entire slide set or selected individual slides into their own teaching presentations but may not alter the content of the slides in any way or remove the ACP copyright notice. Users may make print copies for use as hand-outs for the audience the user is personally addressing but may not otherwise reproduce or distribute the slides by any means or media, including but not limited to sending them as e-mail attachments, posting them on Internet or Intranet sites, publishing them in meeting proceedings, or making them available for sale or distribution in any unauthorized form, without the express written permission of the ACP. Unauthorized use of the In the Clinic slide sets will constitute copyright infringement.

Toolkit

Buy Now

to gain full access to the content and tools.

Want to Subscribe?

Learn more about subscription options

Advertisement
Related Articles
Related Point of Care
Topic Collections
PubMed Articles
Forgot your password?
Enter your username and email address. We'll send you a reminder to the email address on record.
(Required)
(Required)