Do HDHPs save money?

from Healthcare Economist at on October 31, 2017 at 04:56AM

This is the question that Zhang et al. (2017) attempt to answer using data form people who switched to a high-deductible health plan (HDHP) compared to those who stayed in the same plan.  They found:

After enrollment in HDHPs, 28 percent of enrollees changed physicians for office visits (compared to 19 percent in the Traditional Plan group, p < .01); however, this did not result in a statistically significant reduction in price for office visits. About 25 percent of enrollees changed providers for laboratory tests (compared to 23 percent in the Traditional Plan group, p < .01), resulting in savings of about $2.09 or a 12.8 percent reduction in price per laboratory test. We found that HDHPs had lower negotiated prices for office visits but not for laboratory tests.

In short, there is some evidence for cost saving and very model price shopping effects.  Based on this study at least, demand curves do still slope down, but one shouldn’t expect the increased use of HDHPs to results in extremely large cost savings.