Northwestern University, Chicago, Illinois (Dr Weinmeyer, Dr McHugh, Dr Basset, and Ms O'Dwyer); UnitedHealth Group, Minneapolis, Minnesota (Ms Coates).
J Occup Environ Med. 2022 Mar 1;64(3):218-225. doi: 10.1097/JOM.0000000000002395.
To systematically review studies that evaluated the impact of employer-led efforts in the United States to improve the value of health spending, where employers have implemented changes to their health benefits to reduce costs while improving or maintaining quality.
We included all studies of employer-led health benefit strategies that reported outcomes for both employer health spending and employee health outcomes.
Our search returned 44 studies of employer health benefit changes that included measures of both health spending and quality. The most promising efforts were those that lowered or eliminated cost sharing for primary care or medications for chronic illnesses. High deductible health plans with a savings option appeared less promising.
More research is needed on the characteristics and contexts in which these benefit changes were implemented, and on actions that address employers' current concerns.
系统回顾评估美国雇主为提高医疗支出价值而采取的措施的影响的研究，其中雇主对其健康福利进行了改革，以降低成本，同时提高或维持质量。
我们纳入了所有报告雇主主导的健康福利策略对雇主健康支出和员工健康结果影响的研究。
我们的搜索返回了 44 项关于雇主健康福利变化的研究，其中包括健康支出和质量的衡量标准。最有希望的措施是降低或取消初级保健或慢性病药物的自付费用。带有储蓄选项的高免赔额健康计划则不太有希望。
需要更多研究这些福利变化实施的特点和背景，以及解决雇主当前关注问题的措施。
