Episode-Based Cost Sharing to Prospectively Guarantee Patients' Out-of-Pocket Costs

Michal Horný; David M Anderson; A Mark Fendrick

doi:10.1001/jamainternmed.2023.8566

Episode-Based Cost Sharing to Prospectively Guarantee Patients' Out-of-Pocket Costs

JAMA Intern Med. 2024 Jun 1;184(6):597-598. doi: 10.1001/jamainternmed.2023.8566.

Authors

Michal Horný^{1

2}, David M Anderson³, A Mark Fendrick^{4

5}

Affiliations

¹ Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, Georgia.
² Department of Health Policy and Management, Rollins School of Public Health, Emory University, Atlanta, Georgia.
³ Department of Population Health Sciences, Duke University, Durham, North Carolina.
⁴ Department of Internal Medicine, University of Michigan Medical School, Ann Arbor.
⁵ Department of Health Management and Policy, University of Michigan School of Public Health, Ann Arbor.

PMID: 38466297
DOI: 10.1001/jamainternmed.2023.8566

No abstract available

Plain language summary

This Viewpoint proposes episode-based cost sharing as a way to prospectively guarantee out-of-pocket costs for patients while also preventing insurers from absorbing cost differentials created by unexpected complications of care.

MeSH terms

Cost Sharing*
Health Expenditures*
Humans
United States