Send to:

Choose Destination
See comment in PubMed Commons below
Health Aff (Millwood). 2006 Nov-Dec;25(6):1529-36.

Effects of a cost-sharing exemption on use of preventive services at one large employer.

Author information

  • 1Yale University School of Medicine in New Haven, Connecticut, USA.


In 2004, Alcoa introduced a new health benefit for a portion of its workforce, which eliminated cost sharing for preventive care while increasing cost sharing for many other services. In this era of increased consumerism, Alcoa's benefit redesign constituted an effort to reduce health care costs while preserving use of targeted services. Taking advantage of a unique natural experiment, we find that Alcoa was able to maintain rates of preventive service use. This evidence suggests that differential cost sharing can be used to preserve the use of critical health care services.

[PubMed - indexed for MEDLINE]
Free full text
PubMed Commons home

PubMed Commons

How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for HighWire
    Loading ...
    Write to the Help Desk