Researchers at RAND Corporation Report New Data on Insurance (Paying Patients To Use Lower-priced Providers): Insurance

2023 APR 20 (NewsRx) -- By a News Reporter-Staff News Editor at Insurance Daily News -- New research on Insurance is the subject of a report. According to news reporting out of Santa Monica, California, by NewsRx editors, research stated, “Many employers have introduced rewards programs as a new benefit design in which employees are paid $25-$500 if they receive care from lower-priced providers. Our goal was to assess the impact of the rewards program on procedure prices and choice of provider and how these outcomes vary by length of exposure to the program and patient population.”

Funders for this research include Laura and John Arnold Foundation, NIH National Institute on Aging (NIA).

Our news journalists obtained a quote from the research from RAND Corporation, “Setting A total of 87 employers from across the nation with 563,000 employees and dependents who have introduced the rewards program in 2017 and 2018. Difference-in-difference analysis comparing changes in average prices and market share of lower-priced providers among employers who introduced the reward program to those that did not. Data Collection Methods We used claims data for 3.9 million enrollees of a large health plan. Introduction of the program was associated with a 1.3% reduction in prices during the first year and a 3.7% reduction in the second year of access. Use of the program and price reductions are concentrated among magnetic resonance imaging (MRI) services, for which 30% of patients engaged with the program, 5.6% of patients received an incentive payment in the first year, and 7.8% received an incentive payment in the second year. MRI prices were 3.7% and 6.5% lower in the first and second years, respectively. We did not observe differential impacts related to enrollment in a consumer-directed health plan or the degree of market-level price variation. We also did not observe a change in utilization.”

According to the news editors, the research concluded: “The introduction of financial incentives to reward patients from receiving care from lower-priced providers is associated with modest price reductions, and savings are concentrated among MRI services.”

This research has been peer-reviewed.

For more information on this research see: Paying Patients To Use Lower-priced Providers. Health Services Research, 2022;57(1):37-46. Health Services Research can be contacted at: Wiley, 111 River St, Hoboken 07030-5774, NJ, USA. (Wiley-Blackwell - http://www.wiley.com/; Health Services Research - http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1475-6773)

Our news journalists report that additional information may be obtained by contacting Christopher Whaley, RAND Corporation, 1776 Main St, Santa Monica, CA 90401, United States. Additional authors for this research include Neeraj Sood, Michael Chernew, Ateev Mehrotra and Leanne Metcalfe.

The direct object identifier (DOI) for that additional information is: https://doi.org/10.1111/1475-6773.13711. This DOI is a link to an online electronic document that is either free or for purchase, and can be your direct source for a journal article and its citation.

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