High-Deductible Health Plans and Mortality Among Cancer Survivors

In this cross-sectional study of nationwide population-based data, HDHPs were associated with worse OS and CSS among cancer survivors. However, HDHPs were not associated with mortality in adults without history of cancer. These data suggest that insurance coverage that financially discourages medical care may financially discourage necessary care and ultimately worsen cancer outcomes.

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Publication Details

Journal
JAMA Network Open
Published
2026-01-29
DOI
https://doi.org/10.1001/jamanetworkopen.2025.56451
Primary Topic
Economic and Financial Impacts of Cancer
Type
article
Field-Weighted Citation Impact
0.00
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article

High-Deductible Health Plans and Mortality Among Cancer Survivors

September Wallingford, Fumiko Chino, Ashish Gupta, Justin M. Barnes et al.
JAMA Network Open
Economic and Financial Impacts of Cancer
article

High-Deductible Health Plans and Mortality Among Cancer Survivors

September Wallingford, Fumiko Chino, Ashish Gupta, Justin M. Barnes, Meera Vimala Ragavan, Pauline Joy F. Santos
article en

Abstract

In this cross-sectional study of nationwide population-based data, HDHPs were associated with worse OS and CSS among cancer survivors. However, HDHPs were not associated with mortality in adults without history of cancer. These data suggest that insurance coverage that financially discourages medical care may financially discourage necessary care and ultimately worsen cancer outcomes.

JAMA Network OpenVol. 9(1)
University of Minnesota (US), Mayo Clinic (US), Kaiser Permanente (US), The University of Texas MD Anderson Cancer Center (US), Emory University (US), Piedmont Cancer Institute (US), University of Minnesota Medical Center (US), Georgia Department of Public Health (US), Right to Care (ZM), Minnesota Oncology (US), Winship Cancer Institute
No poverty
Openalex Percentile: Top 78%
Economic and Financial Impacts of Cancer
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