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Dec 28, 2020
Two studies published simultaneously in
Neurology examined patient-level and regional practice trends and found rising out-of-pocket costs and supply-demand mismatches, with implications for patients and policymakers.
In the first study, Chloe Hill, MD, MS, of University of Michigan in Ann Arbor, and co-authors examined patient out-of-pocket costs for neurologist visits and diagnostic tests ordered by neurologists for over 3.7 million people between 2001 and 2016. Data was from a single large commercial database insuring Medicaid patients. They found increasing costs, particularly for those with high deductible health plans, and significant cost variation by patient and by test.
In 2001, none of the patients studied were enrolled in high deductible plans; by 2016, 11% were. Examples comparing 2001 and 2016 average inflation-adjusted patient costs included office visit, which rose from $18 to $52; EEG, which climbed from $39 to $112; and MRI, which jumped from $84 t