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Study: Higher co-pays cut hospital visits

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New research suggests that hospital visits decrease as the level of cost the patient bears go up. While this might be worrisome--we don't want people to avoid hospital trips and end up sicker--the study also found that the higher co-pays actually didn't have a negative effect on patient health. In fact, they saw no increase in negative clinical events such hospitalization, intensive care admission or deaths. To gather their data, researchers followed more than two million commercially-insured patients and 250,000 Medicare insured patients.

OK, that's a large number of patients, but color me skeptical. I'd like to know how forcing poorer patients to decide on their own how sick they are could possibly have no impact on outcomes. Maybe the fact that Dr. Hsu is affiliated with Kaiser Permanente--a health plan which stands to make money if visits go down--has something to do with the result?

For more background on the research:
- read this Medical News Today article

Related Article:
Questionnaire cuts ED visits during flu season. Article

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Anne, I think your skeptical instincts are right on target. Co-pays that are high enough to prevent poorer people from going to healthcare providers are simply discrimination because they are biased against the very segment of the population least able to be their own doctor. As far as having "no increase in the rate of unfavorable clinical events . . . and no increase in deaths", this result seems just too convenient to those who would restrict healthcare access to the poor. I cannot see how Dr. Hsu et al. determined, for example, the change in the number of deaths caused by *not going to the emergency room* (due to higher copays). Unfortunately, it is all too easy to parse large data sets such as this to reach a desired result.

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