“Individuals with CDHPs and HDHPs were
significantly more likely to avoid, skip, or delay
health care because of costs than were those
with more comprehensive health insurance, with
problems particularly pronounced among those
with health problems or incomes under $50,000.
About one-third of individuals in CHDPs (35
percent) and HDHPs (31 percent) reported
delaying or avoiding care, compared with 17
percent of those in comprehensive health plans.
Few health plans of any type provide cost and
quality information about providers to help
people make informed decisions about their
health care. The study also found very low
levels of trust in information provided
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“Consumer-directed plans' high deductibles and out-of-pocket costs can prevent patients from receiving necessary and effective care, potentially costing the health care system more in the long run.” Commonwealth Fund August 2004
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There is much more that’s been published about CDHPs. There is evidence that CDHPs can cost employers less in the short term, but questions remain with regard to the personal health implications of choosing to delay or avoid care for cost reasons and long term total costs regarding increased severity problems and corresponding treatment costs. “Despite the fact that more than half (of Americans) agree that more direct involvement in health care decisions would improve health care, a majority of Americans do not currently seek to take up this responsibility. EBRI November 2004
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