Journal of Consumer Policy

, Volume 29, Issue 3, pp 247–262 | Cite as

Which consumers are ready for consumer-directed health plans?

  • Jessica Greene
  • Judith H. Hibbard
  • Anna Dixon
  • Martin Tusler
Original Paper


Consumer Directed Health Plans (CDHPs) are new and increasingly popular insurance products in the United States that aim to increase consumer involvement in health care decision-making. Using quantitative and qualitative methods, we examine characteristics of employees in a large firm that voluntarily enroll in CDHPs. We find salaried and hourly high deductible CDHP enrollees to be substantially healthier and have higher educational attainment than Preferred Provider Organizations (PPO) enrollees. There was less favorable selection into a more popular, lower deductible CDHP.


Consumer-directed health plan Consumer-driven health plan High deductible health plan Health Reimbursement Accounts Health Savings Accounts Health insurance 


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The authors wish to acknowledge the CDHP provider and the participating employer in the study for their openness and commitment to research on CDHPs. We also would like to thank “The Changes in Health Care Financing and Organization” (HCFO) initiative, a program of The Robert Wood Johnson Foundation, for providing support for this research.


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Copyright information

© Springer Science+Business Media B.V. 2006

Authors and Affiliations

  • Jessica Greene
    • 1
  • Judith H. Hibbard
    • 1
  • Anna Dixon
    • 1
  • Martin Tusler
    • 1
  1. 1.Department of Planning, Public Policy & ManagementUniversity of OregonEugeneUSA

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