Clinically-driven payment and benefit design to improve health equity: The case of obesity prevention and treatment

Date: September 10, 2021
Journal: Health Affairs Blog
Citation: Kim DD, Griauzde DH, Richardson CR, Fendrick AM. Clinically-driven payment and benefit design to improve health equity: The case of obesity prevention and treatment. Health Affairs Blog. September 10, 2021.

Despite the significant success in reducing the rate of uninsured Americans since the passage of the Affordable Care Act (ACA), more than one in five working-age adults are still considered “underinsured,” defined as having annual out-of-pocket costs, excluding premiums, exceeding 10 percent of household income. Cost-sharing strategies that require consumers to pay more for all services, such as high-deductible health plans (HDHPs), reduce the use of essential health care, especially by underserved populations. Thus, clinically driven payment and benefit designs to encourage access to necessary care for at-risk individuals are warranted.

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