@sarahkliff are these #s all referring to spending? "an 18% decline in physician office visits, and a 6% decrease in mental health services"
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@sarahkliff Or is that the # of doctors' office visits, etc. -
@josh_zeitlin Those are all referring to spending.
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@sarahkliff@ezraklein I coulda sworn this was already known (skin in the game drives down util indiscriminately). Check TIE? -
@coreymutter@maggiemahar The RAND Health insurance experiment showed this in 1975 i.e. well before@sarahkliff@ezraklein were born! -
@boltyboy@maggiemahar@coreymutter@sarahkliff@ezraklein yes but ppl write about RAND all the time. This, for exhttp://www.npr.org/sections/health-shots/2010/11/23/131538549/caution-high-deductible-plans-might-be-bad-for-your-health … -
@jrovner@boltyboy@maggiemahar@coreymutter@ezraklein Big diff. b/t this and RAND: availability of the HSA funds. -
@sarahkliff@jrovner@boltyboy@ezraklein Sarah-- see http://www.rand.org/pubs/technical_reports/TR562z4/analysis-of-high-deductible-health-plans.html#spending3 … Rand study found that even with HSAs people used less care. -
@maggiemahar@sarahkliff@jrovner@ezraklein Not sure they had HSAs in 1982! -
@boltyboy@maggiemahar@sarahkliff@ezraklein RAND study came up - a lot - during debate over HSA's (and MSA's before that). -
@boltyboy@maggiemahar@sarahkliff@ezraklein fun health policy act - MSAs first authorized by Congress in HIPAA! - 1 more reply
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@sarahkliff@ezraklein Haven't we known this? Only 5-15% of the healthcare dollar is even theoretically shoppableThanks. Twitter will use this to make your timeline better. UndoUndo
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@sarahkliff@ezraklein Exc. piece on high-deductible plans show patients don't shop for cheaper docs, they just use less care. -
@sarahkliff@ezraklein Just 1 important point Kloff omits: patients Don't WANT a cheaper doctor. They believe (wrongly)pricier docs R better
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@sarahkliff@ezraklein but I'm so disappointed this was so surprising! Don't we know enuf @ behav. economics by now to expect this result?!! -
@chrisbrandow@sarahkliff@ezraklein overestimating economists is not solely the domain of economists!
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@sarahkliff@ezraklein This is a great piece. I also still find it very difficult to find out prices in advance for routine procedures. -
@sarahkliff@ezraklein (Meaning, that may also contribute here; I find it really hard to "shop" for health care.) - 1 more reply
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@sarahkliff@ezraklein If you've been *sick* you know 80% is fear, just to start "shopping" 20% is you're too sick, and thus freeze up worryThanks. Twitter will use this to make your timeline better. UndoUndo
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