Topic Suggestion

1. What is the decision or change you are facing or struggling with where a summary of the evidence would be helpful?

We are interested in the overall impact of high deductible health plans (HDHP). Specifically, we are interested in the short term and long term financial and clinical impacts. We are also interested in the evolution and design of high deductible health plans in mitigating possible negative financial and clinical impacts.

2. Why are you struggling with this issue?

We are an integrated health system and our payer arm is increasing the dependence on HDHP. Despite seeing a positive short term financial impact, we are worried that there is a long term clinical impact we are not yet seeing. Specifically, does short term limits on spending ultimate worsen long term clinical outcomes? Our data also indicates that we may have opportunity to increase participation rates but we want to insure that this is the right approach.

3. What do you want to see changed? How will you know that your issue is improving or has been addressed?

Identify a clear path to use/not use HDHP. Or, alternatively, identify a better design of HDHP to mitigate the possible negative clinical long term effects.

4. When do you need the evidence report?

Sun, 12/01/2019

5. What will you do with the evidence report?

This will drive not only our internal payer arm in benefit design but will inform our conversations with external payers.

(Optional) About You

What is your role or perspective?

Administrator

If you are you making a suggestion on behalf of an organization, please state the name of the organization:

Sanford Health

May we contact you if we have questions about your nomination?

Yes