AJMC July 18, 2018
Bruce W. Sherman, MD, and Carol Addy, MD, MMSc

Socioeconomic status may significantly influence enrollee response to value-based benefit design approaches. Evaluating the association of wage status with claims experience may yield actionable insights.

ABSTRACT

Socioeconomic status (SES), an important determinant of individual health status, has not been widely incorporated into employer benefits strategies. Recent research has characterized significant differences in healthcare utilization patterns and cost among workers in different wage categories, raising the possibility that SES does influence individual healthcare utilization behaviors. In particular, SES may have appreciable impact on the effectiveness of benefits tactics, including value-based insurance design (VBID).

This paper sets forth a hypothesis that low wage status negatively influences individual receptivity to VBID offerings, which may blunt the impact of current VBID initiatives. In contrast,...

Today's Sponsors

LEK
ZeOmega

Today's Sponsor

LEK

Continue Reading

 
Topics: Equity/SDOH, Insurance, Payment Models, Provider, Value Based
Related Articles:
The IPPS Proposed Rule Demonstrates the Importance of SDoH
Systemic racism, politics prevent Black expectant mothers from getting needed healthcare
14,280 Black patients moved up transplant waitlist after race scrubbed from criteria
Patient concerns in healthcare digitalisation: Rising inequalities
CMS IPPS Proposed Rule: Expansion of SDoH Designations as CCs

Share This Article