On Mon, Aug 17, 2009 at 9:19 AM, Andrew
Crystall<dawnfal...@upliftwar.com> wrote:
> On 16 Aug 2009 at 23:18, John Williams wrote:
>
>> If the government is going to interfere in the insurance market, it
>> seems to me that it would be simpler just to directly subsidize those
>> who cannot afford to pay health insurance premiums, and leave the
>> insurance market to function rationally.
>
> That is extremely expensive, for all it's "simpler".

Actually, studies have shown that consumer driven health care reduces
costs, and does not decrease preventative care.

http://www.actuary.org/pdf/health/cdhp_may09.pdf

| With regard to first-year cost savings, all studies showed a favorable
| effect on cost in the first year of a CDH plan.  CDH plan trends ranged
| from -4 percent to -15 percent. Coupled with a control population on
| traditional plans that experienced trends of +8 percent to +9 percent,
| the total savings generated could be as much as 12 percent to 20 percent
| in the first year. All studies used some variation of normalization or
| control groups to account for selection bias.

| For savings after the first year, at least two of the studies indicate
| trend rates lower than traditional PPO plans by approximately 3 percent
| to 5 percent. If these lower trends can be further validated, it will
| represent a substantial cost-reduction strategy for employers and
| employees.

| Generally, all of the studies indicated that cost savings did not
| result from avoidance of appropriate care and that necessary care
| was received in equal or greater degrees relative to traditional
| plans. All of the studies reviewed reported a significant increase in
| preventive services for CDH participants. Three of the studies found
| that CDH plan participants received recommended care for chronic
| conditions at the same or higher level than traditional (non-CDH) plan
| participants. Two studies reported a higher incidence of physicians
| following evidence-based care protocols.

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