scholarly journals Are the Healthy Behaviors of US High-Deductible Health Plan Enrollees Driven by People Who Chose These Plans? Smoking as a Case Study

PLoS ONE ◽  
2013 ◽  
Vol 8 (2) ◽  
pp. e56154 ◽  
Author(s):  
Jeffrey T. Kullgren ◽  
Kevin G. Volpp ◽  
Daniel Polsky
Author(s):  
J. Frank Wharam ◽  
Jamie Wallace ◽  
Robert F. LeCates ◽  
Jeanne M. Madden ◽  
Fang Zhang ◽  
...  

Author(s):  
Oriol Ríos-González ◽  
Mimar Ramis-Salas ◽  
Juan Carlos Peña-Axt ◽  
Sandra Racionero-Plaza

Background: Men who develop behaviors connected with the model of hegemonic masculinity present several health problems. Previous research has shown the types of problems that men commonly suffer in this regard such as chronic diseases, dietary disorders, and traffic accidents. To combat and overcome this situation, several campaigns, policies and recommendations have been undertaken, and consequently, their influence has been analyzed. However, there have been few investigations into the role of men’s friendship in the reduction of these physical health problems. The findings presented in this article are focused on this issue, illustrating the impact of male friendship on the shaping of healthy behaviors. Methods: Drawing upon a qualitative-based methodology articulated in a case study of the Men in Dialogue association, located in Spain, the study has followed the premises of the communicative approach, a total of 15 structured online open-ended questionnaires have been performed and analyzed. The median age of the participants is 37.5 years. Results: The findings show how men involved in Men in Dialogue are promoting a kind of masculine friendship that is improving men’s emotional well-being and, consequently, their physical health.


Medical Care ◽  
2016 ◽  
Vol 54 (5) ◽  
pp. 466-473 ◽  
Author(s):  
J. Frank Wharam ◽  
Fang Zhang ◽  
Bruce E. Landon ◽  
Robert LeCates ◽  
Stephen Soumerai ◽  
...  

2019 ◽  
Vol 9 (3) ◽  
pp. 292-298
Author(s):  
Shan Xie ◽  
Qing Ye ◽  
Bhagyashree Katare ◽  
Denny Yu ◽  
Yuehwern Yih

2017 ◽  
Vol 35 (15_suppl) ◽  
pp. 1029-1029
Author(s):  
Christine Leopold ◽  
Anita K. Wagner ◽  
Fang Zhang ◽  
Christine Lu ◽  
Craig Earle ◽  
...  

1029 Background: 50% of workers have high-deductible health plans (HDHP) that require major outofpocket (OOP) spending for cancerrelated care. The OOP burden among patients with advanced cancer in HDHPs is unknown. Our objective was to estimate OOP spending for women with metastatic breast cancer (mbc) stratified by health plan type. Methods: Our data source was administrative health insurance claims and enrollment data of members insured though a large national health plan. We included 7142 women age 25-64 with mbc who had at least 6 months enrollment before the diagnosis and at least 12 months followup. We used a time series design and plotted OOP spending stratified by HDHP vs low-deductible plan. Primary outcome measures included: (1) 20042012 calendar trends in total annual OOP spending, (2) monthly total OOP spending in the 6 months before and 24 months after women were diagnosed with mbc, and (3) monthly total OOP spending in the last 6 months of life. Plots were adjusted for age, socioeconomic status, race/ethnicity, and US region of residence, and we then conducted linear regression to assess for statistical significance of trends. Results: In 2004, average annual OOP spending for women with mbc cancer in low-deductible health plans was $1196.2 and increased to $2570 in 2012, a yearly increase of $159.2 (113.2205.2). For women in HDHP average OOP spending in 2004 amounted to $2648 and increased to $3736.4 in 2012, representing an annual increase of $160.4 per year (105.4215.4) Average OOP spending per person month peaked in the month of diagnosis to $1633.8 for women in HDHPs and to $643 among low-deductible plan members. Average OOP spending in the last 6 months of life were $285.7 per person month among low-plan ($1714.2 per 6 months) and $607.3 among HDHP ($3644 per 6 months). Conclusions: To our knowledge, this is the first analysis to estimate OOP spending for women with mbc accounting for enrollment in HDHPs versus low-deductible plans. We found that OOP spending is increasing over time and is high in the last 6 months of life. HDHP members with mbc faced much higher OOP spending than women in traditional plans across all analyses. Findings raise concerns that HDHPs could worsen access to mbc treatments.


JAMA ◽  
2007 ◽  
Vol 297 (10) ◽  
pp. 1093 ◽  
Author(s):  
J. Frank Wharam ◽  
Bruce E. Landon ◽  
Alison A. Galbraith ◽  
Ken P. Kleinman ◽  
Stephen B. Soumerai ◽  
...  

2011 ◽  
Vol 46 (5) ◽  
pp. 1382-1401 ◽  
Author(s):  
Sheila K. Reiss ◽  
Dennis Ross-Degnan ◽  
Fang Zhang ◽  
Stephen B. Soumerai ◽  
Alan M. Zaslavsky ◽  
...  

2011 ◽  
Vol 11 (1) ◽  
Author(s):  
Robert B Penfold ◽  
Jeffrey T Kullgren ◽  
Irina Miroshnik ◽  
Alison A Galbraith ◽  
Virginia L Hinrichsen ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document