How high-deductible health plans affect health spending and care use based on income levels

Impact of High-Deductible Health Plan Enrollment on Health Spending and Utilization: Comparisons by Income

['FUNDING_R03'] · UNIVERSITY OF CHICAGO · NIH-11001994

This study looks at how high-deductible health insurance plans affect how much people spend on healthcare and how often they use medical services, especially for those with lower incomes, to see if these plans make it harder for them to get the care they need.

Quick facts

Phase['FUNDING_R03']
Study typeNih_funding
SexAll
SponsorUNIVERSITY OF CHICAGO (nih funded)
Locations1 site (CHICAGO, UNITED STATES)
Trial IDNIH-11001994 on ClinicalTrials.gov

What this research studies

This research investigates the impact of high-deductible health insurance plans on healthcare spending and utilization, particularly focusing on how these effects differ among various income groups. It aims to understand whether these plans, which often lead to reduced medical service use, negatively affect access to essential healthcare services, especially for low-income individuals who may already face health disparities. By employing a difference-in-differences analysis, the study will compare health outcomes before and after enrollment in high-deductible plans against a control group. The findings will provide valuable insights into the implications of these insurance models on patient care.

Who could benefit from this research

Good fit: Ideal candidates for this research include adults aged 21 and older who are enrolled in high-deductible health plans and come from various income backgrounds.

Not a fit: Patients who are not enrolled in high-deductible health plans or those who do not face financial barriers to healthcare may not benefit from this research.

Why it matters

Potential benefit: If successful, this research could inform policy changes that improve access to necessary healthcare services for individuals enrolled in high-deductible health plans.

How similar studies have performed: Previous research has indicated that high-deductible health plans can lead to reduced healthcare utilization, but this study aims to provide new insights into the specific impacts on different income groups.

Where this research is happening

CHICAGO, UNITED STATES

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.

View on NIH RePORTER →

Last reviewed 2026-05-15 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.