High-Deductible Health Plans, Explained

- High deductible health plans

are private health insurance plans

that feature a large deductible

essentially before your insurance kicks in.

So, this is similar to auto insurance

that most people have.

Where you have to pay a certain amount

before your insurance will start paying

for the rest.

There are now 40% of Americans with

private health insurance who were enrolled

in a high deductible health plan.

So, these plans are becoming increasingly common.

They tend to be less costly for employers,

and in some cases for patients or consumers.

And they seek to encourage patients

to be more active, judicious,

cost conscience healthcare consumers.

One major challenge with high deductible health plans

is people going without healthcare

that they desperately need.

Research has shown that when people

move in to a high deductible health plan

they tend to decrease their use of

most healthcare services.

What that means is people getting fewer

low value services that are unlikely

to improve the health outcomes

or could lead to unnecessary harms and cost.

Which is a good thing.

But also going without the higher value healthcare services

that they need.

That's why there are a lot more efforts

that are needed to help patients

work with their providers

when they're in a high deductible health plan.

To focus on helping patients

be able to access and afford the services

that are most likely to improve their health outcomes.

Things like saving for care that people know

they're gonna need in the future.

Talking to their provider about

how much a service is gonna cost them

and whether or not it's actually

worth the expense.

Using online tools or apps and smartphones

to figure out how much services

might cost them at different places

and then making decisions based on that information.

Or even in some cases,

negotiating what they might pay

for a particular service that's not

and emergency service,

but something that they may need in the future.

So, we're particularly excited about

some of the opportunities that could be

used to help more patients in

high deductible plans get the care they need

at the lowest possible cost.