Consumer and Provider Costs

Consumer and Provider Costs

Nathaniel Cruz

September 10, 2018

MHA/516

Eboni Green














Consumer and Provider Costs

Introduction

Federal policy and service requirements, health insurance plans are increasingly developing high-deductible insurance policies and narrow networks, are adapting a new name called the consumer-based, to try to acknowledge, put forth, and force individuals to adapt a healthier lifestyle. There are many negatives to this plan, but there are surprisingly positive to for the most part adapting this train of thought that they are trying to perceive. Yes it is more expensive type of insurance out of pocket, but at the same time by having this plan it will remind individuals of living a more productive and healthier life to avoid those upfront out of pocket costs.

According to Impact Of High-Deductible Health Plans On Health Care Utilization And Costs (2011), “studies have sought to measure the impact of these incentive-driven plans on plan selection, health care utilization, and cost, and most studies of plan selection find that large-group HDHP enrollees are more likely to be younger, single, and male and have lower health care utilization than others, although there are notable exceptions” (Previous Evidence). That being said it will not be a wise choice for every to acquire, but those would benefit more than others. Although everyone should be cognizant of their health, this certainly can assist in giving you that extra push when chosen to eat healthier versus, eating out fast food at times.

A very strong negative of having this plan is, According to Rosato (2016), “Even more worrisome is research that shows that some workers with high deductible health insurance plans aren’t getting the care they need” (para. 4). Nothing could be worse than paying for something and getting the service you are paying, especially when you know that you are paying initially more than a person with a cheaper plan. This issue arises and it will not become better, According to Mcanne (2018), “That this is the nature of private health insurance. Plans are designed to be successful business products” (para. 4).

Conclusion

There is no sign of it deductible becoming less expensive, anytime in the near future. As long as pharmaceutical companies continue to raise prices as well as specialized service, it is a slim chance that we will ever have any positive outcome on the actual consumer, but what can happen is the change of living healthier and more productive with the intentions of not visiting the physicians as regularly for minor issues or even any issues at all, to avoid costs.













References:

Impact Of High-Deductible Health Plans On Health Care Utilization And Costs (2011). Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3034267/

Rosato, D. (2016). The Downside Of High Deductible Health Insurance. Retrieved from https://www.consumerreports.org/health-insurance/downside-of-high-deductible-health-insurance/

Mcanne, D. (2018). Higher Premiums, Higher Deductibles, And Narrower Networks In Exchange Markets. Retrieved from http://pnhp.org/blog/2018/07/13/higher-premiums-higher-deductibles-and-narrower-networks-in-exchange-markets/