Narrow Provider Networks and Willingness to Pay for Continuity of Care and Network Breadth

Details

• Personal Author:
  Carlin CS ; Dowd B ; Higuera L
• Description:
  Tiered and narrow provider networks are mechanisms implemented by health plans to reduce health care costs. The benefits of narrow networks for consumers usually come in the form of lower premiums in exchange for access to fewer providers. Narrow networks may disrupt continuity of care and access to usual sources of care. We examine choices of health plans in a private health insurance exchange where consumers choose among one broad network and four narrow network plans. Using a discrete choice model with repeated choices, we estimate the willingness to pay for a health plan that covers consumers' usual sources of care. Willingness to pay for a network that covers consumers' usual source of care is between $84 and $275/month (for primary care) and between $0 and $115/month (for specialists). We find that, given that a network covers their usual source of care, consumers show aversion only to the narrowest networks. [Description provided by NIOSH]
• Subjects:
  Economics Occupational Health Safety
• Keywords:
  Author Keywords: Narrow Networks Cost Estimates Costs Discrete Choice Economic Analysis Health Care Medical Treatment Willingness To Pay
• ISSN:
  0167-6296
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  Minnesota ; OSHA Region 5
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  90-97
• Volume:
  60
• NIOSHTIC Number:
  nn:20064235
• Citation:
  J Health Econ 2018 Jul; 60:90-97
• Contact Point Address:
  Lucas Higuera, Department of Health Policy and Management, University of Minnesota, 420 Delaware St. SE, Minneapolis, MN, 55455, United States
• Email:
  higue003@umn.edu
• Federal Fiscal Year:
  2018
• Performing Organization:
  University of Minnesota Twin Cities
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  Journal of Health Economics
• End Date:
  20250630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:983a9116c9da424b2e0bf1ea8f493a0f8fea5762f8a2e8643664e97cfd58b77bbccfe16800461e0d7bc3c8d687989d837734fa14da7a4770b973aa36db7215c5
• Download URL:
  https://stacks.cdc.gov/view/cdc/222736/cdc_222736_DS1.pdf
• File Type:
  [PDF - 419.65 KB ]