{"id":"https://openalex.org/W2031833411","doi":"https://doi.org/10.1001/jama.1996.03530450056033","title":"Can Medical Savings Accounts for the Nonelderly Reduce Health Care Costs?","display_name":"Can Medical Savings Accounts for the Nonelderly Reduce Health Care Costs?","publication_year":1996,"publication_date":"1996-06-05","ids":{"openalex":"https://openalex.org/W2031833411","doi":"https://doi.org/10.1001/jama.1996.03530450056033","mag":"2031833411","pmid":"https://pubmed.ncbi.nlm.nih.gov/8637141"},"language":"en","primary_location":{"id":"doi:10.1001/jama.1996.03530450056033","doi":"https://doi.org/10.1001/jama.1996.03530450056033","is_oa":false,"landing_page_url":"https://doi.org/10.1001/jama.1996.03530450056033","pdf_url":null,"source":{"id":"https://openalex.org/S172573765","display_name":"JAMA","issn_l":"0002-9955","issn":["0002-9955","0098-7484","1538-3598","2376-8118"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320259","host_organization_name":"American Medical Association","host_organization_lineage":["https://openalex.org/P4310320259"],"host_organization_lineage_names":["American Medical Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JAMA: The Journal of the American Medical Association","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5108222630","display_name":"Emmett B. Keeler","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1309849503","display_name":"RAND Corporation","ror":"https://ror.org/00f2z7n96","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I1309849503"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Emmett B. Keeler","raw_affiliation_strings":["Health Sciences Program, RAND, Santa Monica, CA 90407-2138, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Health Sciences Program, RAND, Santa Monica, CA 90407-2138, USA","institution_ids":["https://openalex.org/I1309849503"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5108222630"],"corresponding_institution_ids":["https://openalex.org/I1309849503"],"apc_list":null,"apc_paid":null,"fwci":12.5586,"has_fulltext":false,"cited_by_count":65,"citation_normalized_percentile":{"value":0.98364659,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":88,"max":97},"biblio":{"volume":"275","issue":"21","first_page":"1666","last_page":"1666"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.9951000213623047,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.9951000213623047,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11531","display_name":"Healthcare Systems and Reforms","score":0.003000000026077032,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10517","display_name":"Financial Literacy, Pension, Retirement Analysis","score":0.00039999998989515007,"subfield":{"id":"https://openalex.org/subfields/2003","display_name":"Finance"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/medical-savings-accounts","display_name":"medical savings accounts","score":1.0},{"id":"https://openalex.org/keywords/health-care-costs","display_name":"health care costs","score":0.7910000085830688},{"id":"https://openalex.org/keywords/catastrophic-health-insurance","display_name":"catastrophic health insurance","score":0.7919999957084656},{"id":"https://openalex.org/keywords/nonelderly-adults","display_name":"non-elderly adults","score":0.5960000157356262},{"id":"https://openalex.org/keywords/employer-sponsored-health-insurance","display_name":"employer-sponsored health insurance","score":0.6759999990463257},{"id":"https://openalex.org/keywords/health-care-expenditure","display_name":"health care expenditure","score":0.5239999890327454},{"id":"https://openalex.org/keywords/health-care-waste","display_name":"health care waste","score":0.5180000066757202},{"id":"https://openalex.org/keywords/health-policy-evaluation","display_name":"health policy evaluation","score":0.5350000262260437}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9668242931365967},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.48635321855545044},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.4545014798641205},{"id":"https://openalex.org/C3019354653","wikidata":"https://www.wikidata.org/wiki/Q5690885","display_name":"Medical costs","level":3,"score":0.4354475736618042},{"id":"https://openalex.org/C3018838755","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Medical care","level":2,"score":0.4344472587108612},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.20208203792572021},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0829528272151947},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D003669","descriptor_name":"Deductibles and Coinsurance","qualifier_ui":"Q000331","qualifier_name":"legislation & jurisprudence","is_major_topic":false},{"descriptor_ui":"D005069","descriptor_name":"Evaluation Studies as Topic","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005102","descriptor_name":"Health Expenditures","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D005382","descriptor_name":"Financing, Personal","qualifier_ui":"Q000331","qualifier_name":"legislation & jurisprudence","is_major_topic":true},{"descriptor_ui":"D005382","descriptor_name":"Financing, Personal","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D006279","descriptor_name":"Health Maintenance Organizations","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D006302","descriptor_name":"Health Services Research","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D007183","descriptor_name":"Income Tax","qualifier_ui":"Q000331","qualifier_name":"legislation & jurisprudence","is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017047","descriptor_name":"Cost Sharing","qualifier_ui":"Q000331","qualifier_name":"legislation & jurisprudence","is_major_topic":true},{"descriptor_ui":"D017047","descriptor_name":"Cost Sharing","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D017048","descriptor_name":"Health Care Costs","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017050","descriptor_name":"Episode of Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017057","descriptor_name":"Medically Uninsured","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017059","descriptor_name":"Models, Econometric","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":4,"locations":[{"id":"doi:10.1001/jama.1996.03530450056033","doi":"https://doi.org/10.1001/jama.1996.03530450056033","is_oa":false,"landing_page_url":"https://doi.org/10.1001/jama.1996.03530450056033","pdf_url":null,"source":{"id":"https://openalex.org/S172573765","display_name":"JAMA","issn_l":"0002-9955","issn":["0002-9955","0098-7484","1538-3598","2376-8118"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320259","host_organization_name":"American Medical Association","host_organization_lineage":["https://openalex.org/P4310320259"],"host_organization_lineage_names":["American Medical Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JAMA: The Journal of the American Medical Association","raw_type":"journal-article"},{"id":"doi:10.1001/jama.275.21.1666","doi":"https://doi.org/10.1001/jama.275.21.1666","is_oa":false,"landing_page_url":"https://doi.org/10.1001/jama.275.21.1666","pdf_url":null,"source":{"id":"https://openalex.org/S172573765","display_name":"JAMA","issn_l":"0002-9955","issn":["0002-9955","0098-7484","1538-3598","2376-8118"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320259","host_organization_name":"American Medical Association","host_organization_lineage":["https://openalex.org/P4310320259"],"host_organization_lineage_names":["American Medical Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JAMA: The Journal of the American Medical Association","raw_type":"journal-article"},{"id":"pmid:8637141","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/8637141","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JAMA","raw_type":"Journal Article"},{"id":"pmh:oai:repository.library.georgetown.edu:10822/894706","doi":null,"is_oa":false,"landing_page_url":"http://hdl.handle.net/10822/894706","pdf_url":null,"source":{"id":"https://openalex.org/S4306402467","display_name":"DigitalGeorgetown (Georgetown University Library)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I4210145449","host_organization_name":"Center for Security and Emerging Technology","host_organization_lineage":["https://openalex.org/I4210145449"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"eweb:165314","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.7246000170707703,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":16,"referenced_works":["https://openalex.org/W71349774","https://openalex.org/W403910266","https://openalex.org/W566390701","https://openalex.org/W641679080","https://openalex.org/W1519316738","https://openalex.org/W1555579846","https://openalex.org/W1848434021","https://openalex.org/W1980486401","https://openalex.org/W1998832130","https://openalex.org/W1999937512","https://openalex.org/W2054834220","https://openalex.org/W2072703138","https://openalex.org/W2099369559","https://openalex.org/W2104014639","https://openalex.org/W2411479589","https://openalex.org/W2417997017"],"related_works":["https://openalex.org/W2591271291","https://openalex.org/W235075381","https://openalex.org/W4301876843","https://openalex.org/W2170454784","https://openalex.org/W3123577124","https://openalex.org/W2418800440","https://openalex.org/W2433283846","https://openalex.org/W7098731775","https://openalex.org/W2087101573","https://openalex.org/W2410527074"],"abstract_inverted_index":{"OBJECTIVE:":[0],"To":[1],"understand":[2],"how":[3,148],"medical":[4,81],"savings":[5,52,177],"account":[6,53,74,163,178],"(MSA)":[7],"legislation":[8,54,179],"for":[9],"the":[10,23,45,95,98,104,109,149,196,199,204],"nonelderly":[11,34,130,156],"would":[12,55,139,158,168,180,216],"affect":[13],"health":[14,66,87,117,124,136,166,185],"care":[15,67,137,186,210],"costs.":[16],"DESIGN:":[17],"Economic":[18],"policy":[19],"evaluation":[20],"based":[21],"on":[22,147,184,195],"RAND":[24],"Health":[25],"Expenditures":[26],"Simulation":[27],"Model.":[28],"SETTING:":[29],"National":[30],"probability":[31],"sample":[32],"of":[33,97,123,188,198,207],"noninstitutionalized":[35],"households.":[36],"PARTICIPANTS:":[37],"Persons":[38],"in":[39,94,102,115],"23":[40],"157":[41],"sampled":[42],"households":[43],"from":[44,203],"1993":[46],"Current":[47],"Population":[48],"Survey.":[49],"INTERVENTIONS:":[50],"Medical":[51,176],"allow":[56],"all":[57,128,155],"Americans":[58,131,157,189],"who":[59],"are":[60,151],"covered":[61,84],"only":[62],"by":[63,85,141,170],"a":[64,72],"catastrophic":[65,99,200],"plan":[68,100],"to":[69,79,133,173,219],"set":[70],"up":[71],"tax-exempt":[73],"that":[75],"they":[76],"can":[77],"use":[78,206],"pay":[80],"bills":[82],"not":[83,154],"their":[86,135],"insurance.":[88,192],"The":[89],"interventions":[90],"we":[91],"evaluate":[92],"differ":[93],"deductibles":[96],"and":[101,119,144,214,222],"whether":[103],"employee":[105],"or":[106],"employer":[107],"funds":[108],"MSA.":[110],"MAIN":[111],"OUTCOME":[112],"MEASURES:":[113],"Changes":[114],"national":[116],"expenditures":[118,138],"net":[120],"societal":[121],"benefits":[122],"care.":[125],"RESULTS:":[126],"If":[127],"insured":[129,209],"switched":[132],"MSAs,":[134],"decline":[140],"between":[142],"0%":[143],"13%,":[145],"depending":[146,194],"MSAs":[150,215],"designed.":[152],"However,":[153,193],"choose":[159],"MSAs;":[160],"taking":[161],"into":[162],"selection":[164],"patterns,":[165],"spending":[167],"change":[169],"+":[171],"1%":[172],"-2%.":[174],"CONCLUSIONS:":[175],"have":[181],"little":[182],"impact":[183],"costs":[187],"with":[190],"employer-provided":[191],"size":[197],"limit,":[201],"waste":[202],"excessive":[205],"generously":[208],"could":[211],"be":[212,217],"reduced,":[213],"attractive":[218],"both":[220],"sick":[221],"healthy":[223],"people.":[224]},"counts_by_year":[{"year":2024,"cited_by_count":1},{"year":2022,"cited_by_count":1},{"year":2018,"cited_by_count":1},{"year":2017,"cited_by_count":1},{"year":2016,"cited_by_count":1},{"year":2015,"cited_by_count":4},{"year":2013,"cited_by_count":1},{"year":2012,"cited_by_count":1}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2016-06-24T00:00:00"}