Home > Publications . Search All . Browse All . Country . Browse PSC Pubs . PSC Report Series

PSC In The News

RSS Feed icon

Smock cited in amicus brief for Supreme Court case on citizenship rights for foreign-born children of unwed parents

Levy, Buchmueller and colleagues examine Medicaid expansion's impact on ER visits

ISR data show large partisan gap in consumer expectations for economy

More News

Highlights

MiCDA Research Fellowship - applications due July 21, 2017

U-M awarded $58 million to develop ideas for preventing and treating health problems

Bailey, Eisenberg , and Fomby promoted at PSC

Former PSC trainee Eric Chyn wins PAA's Dorothy S. Thomas Award for best paper

More Highlights

Rising out-of-pocket costs in disease management programs

Archived Abstract of Former PSC Researcher

Chernew, Michael, A. B. Rosen, and A. M. Fendrick. 2006. "Rising out-of-pocket costs in disease management programs." American Journal of Managed Care, 12(3), 150-154.

objectives: To document the rise in copayments for patients in disease management programs and to call attention to the inherent conflicts that exist between these 2 approaches to benefit design.

Methods: Data from 2 large health plans were used to compare cost sharing in disease management programs with cost sharing outside of disease management programs.

Results: The copayments charged to participants in disease management programs usually do not differ substantially from those charged to other beneficiaries.

Conclusions: Cost sharing and disease management result in conflicting approaches to benefit design. Increasing copayments may lead to underuse of recommended services, thereby decreasing the clinical effectiveness and increasing the overall costs of disease management programs. Policyrnakers and private purchasers should consider the use of targeted benefit designs when implementing disease management programs or redesigning cost-sharing provisions. Current information systems and health services research are sufficiently advanced to permit these benefit designs.

Browse | Search : All Pubs | Next