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Comparison of Observed Harms and Expected Mortality Benefit for Persons in the Veterans Health Affairs Lung Cancer Screening Demonstration Project
JAMA Internal Medicine ( IF 22.5 ) Pub Date : 2018-03-01 , DOI: 10.1001/jamainternmed.2017.8170
Tanner J Caverly 1, 2, 3 , Angela Fagerlin 4, 5 , Renda Soylemez Wiener 6, 7 , Christopher G Slatore 8, 9 , Nichole T Tanner 10, 11 , Shira Yun 1, 2 , Rodney Hayward 1, 2, 3
Affiliation  

out a comparison group of individuals enrolled in traditional plans. To identify HDHP enrollees, we relied on participants’ knowledge of their deductible, because verification of insurance benefits was infeasible. Respondents were sampled from an internet survey panel and may have had different consumer characteristics than nonrespondents. There are a number of ways in which consumer behaviors could be encouraged among and made more helpful to individuals enrolled in HDHPs. Providers could help patients anticipate services that they may need in the future so that patients can try to save for them. Health systems could make prices for services available at the point of care to facilitate patient and clinician conversations about cost. Employers and insurers could go beyond disseminating price information to help patients learn how to use thisinformationinhealthcaredecisions.Sucheffortswillbecome increasingly important as enrollment in HDHPs continues to increase and could become essential if modifications to the structure or implementation of the Affordable Care Act accelerate patients’ exposure to high cost sharing.

中文翻译:

退伍军人健康事务肺癌筛查示范项目中人员观察到的危害和预期死亡率的比较

出一组参加传统计划的个人。为了识别 HDHP 参保者,我们依赖于参与者对其免赔额的了解,因为对保险福利的验证是不可行的。受访者是从互联网调查小组中抽取的样本,可能与非受访者具有不同的消费者特征。有多种方式可以鼓励加入 HDHP 的个人,并使他们对消费者的行为更有帮助。提供者可以帮助患者预测他们将来可能需要的服务,以便患者可以尝试为他们储蓄。卫生系统可以在护理点提供服务的价格,以促进患者和临床医生关于成本的对话。
更新日期:2018-03-01
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