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     <title>RAND Research Topic: Health Insurance Cost Sharing</title>
     <link rel="self" href="http://www.rand.org/topics/health-insurance-cost-sharing.xml"/>
     <updated>2012-05-24T14:56:48Z</updated>
     <link rel="alternate" type="text/html" hreflang="en" href="http://www.rand.org/topics/health-insurance-cost-sharing.html" />
     <rights>Copyright (c) 2012, The RAND Corporation</rights>
     <author>
       <name>RAND Corporation</name>
     </author>
     <id>http://www.rand.org/topics/health-insurance-cost-sharing.html</id>
	 
 <entry>
   <title type="html">Expanding Consumer-Directed Health Plans Could Help Cut Overall Health Care Spending</title>
   <id>http://www.rand.org/pubs/external_publications/EP201200104.html</id>
   <published>May 7, 2012</published>
   <updated>May 7, 2012</updated>
   <summary type="html">If consumer-directed health plans grow to account for half of all employer-sponsored insurance in the United States, health costs could drop by $57 billion annually&amp;mdash;about 4 percent of all health care spending among the nonelderly.</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/external_publications/EP201200104.html" />
   
 </entry>
 
 <entry>
   <title type="html">Expanding Consumer-Directed Health Plans Could Help Cut Overall Health Care Spending</title>
   <id>http://www.rand.org/news/press/2012/05/07/index1.html</id>
   <published>May 7, 2012</published>
   <updated>May 7, 2012</updated>
   <summary type="html">If consumer-directed health plans grow to account for half of all employer-sponsored insurance in the United States, health costs could drop by $57 billion annually&amp;mdash;about 4 percent of all health care spending among the nonelderly.</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/news/press/2012/05/07/index1.html" />
   
 </entry>
 
 <entry>
   <title type="html">Consumers&apos; and Providers&apos; Responses to Public Cost Reports, and How to Raise the Likelihood of Achieving Desired Results</title>
   <id>http://www.rand.org/pubs/external_publications/EP20120080.html</id>
   <published>Apr 1, 2012</published>
   <updated>Apr 1, 2012</updated>
   <summary type="html">Public reporting of health care costs is intended to motivate consumers to choose lower cost providers, and motivate providers to lower costs to retain market share.  Measures should be chosen based on which pathway policymakers intend to influence.</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/external_publications/EP20120080.html" />
   
 </entry>
 
 <entry>
   <title type="html">Rules Allowing Small Businesses to Opt Out of Health Reform Should Have Minor Impact on Insurance Cost</title>
   <id>http://www.rand.org/pubs/external_publications/EP201100293.html</id>
   <published>Feb 8, 2012</published>
   <updated>Feb 8, 2012</updated>
   <summary type="html">Rules that allow some small employers to avoid regulation under the federal Affordable Care Act are unlikely to have a major impact on the future cost of health insurance unless those rules are relaxed to allow more businesses to opt out.</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/external_publications/EP201100293.html" />
   
 </entry>
 
 <entry>
   <title type="html">Rules Allowing Small Businesses to Opt Out of Health Reform Should Have Minor Impact on Insurance Cost</title>
   <id>http://www.rand.org/news/press/2012/02/08/index2.html</id>
   <published>Feb 8, 2012</published>
   <updated>Feb 8, 2012</updated>
   <summary type="html">Rules that allow some small employers to avoid regulation under the federal Affordable Care Act are unlikely to have a major impact on the future cost of health insurance unless those rules are relaxed to allow more businesses to opt out.</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/news/press/2012/02/08/index2.html" />
   
 </entry>
 
 <entry>
   <title type="html">Can the Patient-Centered Outcomes Research Institute Become Relevant to Controlling Medical Costs and Improving Value?</title>
   <id>http://www.rand.org/commentary/2011/11/09/JAMA.html</id>
   <published>Nov 9, 2011</published>
   <updated>Nov 9, 2011</updated>
   <summary type="html">A scientific and political case could be made to amend health care legislation to require that cost be included in the studies that the PCORI funds, writes Robert H. Brook.</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/commentary/2011/11/09/JAMA.html" />
   
 </entry>
 
 <entry>
   <title type="html">Bundling Payments to Curb Health Care Costs Proves Difficult to Realize</title>
   <id>http://www.rand.org/news/press/2011/11/07.html</id>
   <published>Nov 7, 2011</published>
   <updated>Nov 7, 2011</updated>
   <summary type="html">Under bundled payments, doctors, hospitals, and other providers share one fee for treating all aspects of a procedure such as a hip replacement or a chronic disease like diabetes. The approach should eliminate unnecessary care and improve quality, but putting it into practice is proving to be more difficult than anticipated.</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/news/press/2011/11/07.html" />
   
 </entry>
 
 <entry>
   <title type="html">Consumers May Have More Control Over Health Care Costs Than Previously Thought</title>
   <id>http://www.rand.org/news/press/2011/09/29.html</id>
   <published>Sep 29, 2011</published>
   <updated>Sep 29, 2011</updated>
   <summary type="html">The historic RAND Health Insurance Experiment found that patients had little or no control over their health care spending once they began to receive a physician&apos;s care, but this has changed for those enrolled in consumer-directed health plans. </summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/news/press/2011/09/29.html" />
   
 </entry>
 
 <entry>
   <title type="html">Consumers May Have More Control Over Health Care Costs Than Previously Thought</title>
   <id>http://www.rand.org/pubs/external_publications/EP201100208.html</id>
   <published>Sep 29, 2011</published>
   <updated>Sep 29, 2011</updated>
   <summary type="html">The historic RAND Health Insurance Experiment found that patients had little or no control over their health care spending once they began to receive a physician&apos;s care, but this has changed for those enrolled in consumer-directed health plans.</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/external_publications/EP201100208.html" />
   
 </entry>
 
 <entry>
   <title type="html">Consolidation of Health Plans May Help Lower Hospital Costs</title>
   <id>http://www.rand.org/news/press/2011/09/08/index1.html</id>
   <published>Sep 7, 2011</published>
   <updated>Sep 7, 2011</updated>
   <summary type="html">Increased consolidation among health plans nationally may benefit consumers by lowering hospital prices, at least in those regions where health plans are the most consolidated.</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/news/press/2011/09/08/index1.html" />
   
 </entry>
 
 <entry>
   <title type="html">Consolidation of Health Plans May Help Lower Hospital Costs</title>
   <id>http://www.rand.org/pubs/external_publications/EP201100177.html</id>
   <published>Sep 7, 2011</published>
   <updated>Sep 7, 2011</updated>
   <summary type="html">Increased consolidation among health plans nationally may benefit consumers by lowering hospital prices, at least in those regions where health plans are the most consolidated.</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/external_publications/EP201100177.html" />
   
 </entry>
 
 <entry>
   <title type="html">Accelerating Health Care Costs Wiping Out Much of Americans&apos; Income Gains</title>
   <id>http://www.rand.org/news/press/2011/09/08.html</id>
   <published>Sep 7, 2011</published>
   <updated>Sep 7, 2011</updated>
   <summary type="html">Fast-rising health care costs have eaten nearly all the income gains made by a median-income American family of four over the past decade, leaving them with just $95 per month in extra income, after accounting for taxes and price increases.</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/news/press/2011/09/08.html" />
   
 </entry>
 
 <entry>
   <title type="html">Accelerating Health Care Costs Wiping Out Much of Americans&apos; Income Gains</title>
   <id>http://www.rand.org/pubs/research_briefs/RB9605.html</id>
   <published>Sep 7, 2011</published>
   <updated>Sep 7, 2011</updated>
   <summary type="html">Fast-rising health care costs have eaten nearly all the income gains made by a median-income American family of four over the past decade, leaving them with just $95 per month in extra income, after accounting for taxes and price increases.</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/research_briefs/RB9605.html" />
   
 </entry>
 
 <entry>
   <title type="html">High-Deductible Health Plans Pose No Special Risks to Medically Vulnerable Populations</title>
   <id>http://www.rand.org/news/press/2011/04/18.html</id>
   <published>Apr 18, 2011</published>
   <updated>Apr 18, 2011</updated>
   <summary type="html">People who are medically vulnerable -- those with low incomes or chronic health problems -- who enroll in high-deductible health plans are at no more risk for cutting back on needed health care than other people who enroll in the plans.</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/news/press/2011/04/18.html" />
   
 </entry>
 
 <entry>
   <title type="html">Largest Study of High-Deductible Health Plans Finds Substantial Cost Savings, but Less Preventive Care</title>
   <id>http://www.rand.org/pubs/external_publications/EP20110048.html</id>
   <published>Mar 25, 2011</published>
   <updated>Mar 25, 2011</updated>
   <summary type="html">The largest-ever assessment of high-deductible health plans finds that while such plans  significantly cut health spending, they also prompt patients to cut back on preventive health care.</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/external_publications/EP20110048.html" />
   
 </entry>
 
 <entry>
   <title type="html">Largest Study of High-Deductible Health Plans Finds Substantial Cost Savings, but Less Preventive Care</title>
   <id>http://www.rand.org/news/press/2011/03/25.html</id>
   <published>Mar 24, 2011</published>
   <updated>Mar 24, 2011</updated>
   <summary type="html">The largest-ever assessment of high-deductible health plans finds that while such plans  significantly cut health spending, they also prompt patients to cut back on preventive health care.</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/news/press/2011/03/25.html" />
   
 </entry>
 
 <entry>
   <title type="html">Scorecard for New Health Reform Legislation</title>
   <id>http://www.rand.org/commentary/2010/03/26/NJ.html</id>
   <published>Mar 25, 2010</published>
   <updated>Mar 25, 2010</updated>
   <summary type="html">&lt;p&gt;&amp;nbsp;&lt;span class=&quot;Apple-style-span&quot; style=&quot;font-family: Verdana, Arial, Helvetica, sans-serif; border-collapse: collapse; line-height: 16px;&quot;&gt;How close do you think that the health care reform plan would come, in reality, to achieving each goal?&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&lt;meta charset=&quot;utf-8&quot;&gt;&lt;/p&gt;
</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/commentary/2010/03/26/NJ.html" />
   
 </entry>
 
 <entry>
   <title type="html">Obama&apos;s Health Plan: New Federal Role for Insurance Regulation</title>
   <id>http://www.rand.org/commentary/2010/02/22/NJ.html</id>
   <published>Feb 21, 2010</published>
   <updated>Feb 21, 2010</updated>
   <summary type="html">&lt;p&gt;&lt;span class=&quot;Apple-style-span&quot; style=&quot;font-family: Verdana,Arial,Helvetica,sans-serif; border-collapse: collapse; line-height: 16px;&quot;&gt;To provide a context for understanding health insurance premium price&amp;nbsp;increases, this document identifies the factors that insurance companies consider when setting rates for the next year.&lt;/span&gt;&lt;/p&gt;
</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/commentary/2010/02/22/NJ.html" />
   
 </entry>
 
 <entry>
   <title type="html">Increase the Use of &quot;Bundled&quot; Payment Approaches</title>
   <id>http://www.rand.org/pubs/technical_reports/TR562z20.html</id>
   <published>Jan 8, 2010</published>
   <updated>Jan 8, 2010</updated>
   <summary type="html">This document explores how increased use of bundled payment approaches would affect health system performance along nine dimensions.</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/technical_reports/TR562z20.html" />
   
 </entry>
 
 <entry>
   <title type="html">Require Employers to Offer Coverage</title>
   <id>http://www.rand.org/pubs/technical_reports/TR562z2.html</id>
   <published>Jan 8, 2010</published>
   <updated>Jan 8, 2010</updated>
   <summary type="html">This document explores how requiring employers to offer health insurance (an employer mandate) would affect health system performance along nine dimensions.</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/technical_reports/TR562z2.html" />
   
 </entry>
 
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