TY - CHAP AB - Consumer-Directed Health Plans (CDHPs) are proposed as an option to control healthcare costs. No research has addressed their applicability in rural settings. This study analyzes three years (2003–2005) of healthcare expenditure and utilization incurred by two employers and a national carrier providing data from a rural state, Kentucky. The study included two measures of expenditures (health care and prescription drugs) and three measures of utilization (physician visits, hospital admissions, and hospital inpatient days). In general, the CDHP successfully controlled the growth of medical costs. These findings suggest that CDHPs may be a viable alternative benefit structure for rural employers. VL - 28 SN - 978-1-84950-715-8, 978-1-84950-714-1/0275-4959 DO - 10.1108/S0275-4959(2010)0000028011 UR - https://doi.org/10.1108/S0275-4959(2010)0000028011 AU - Watkins Cecilia M. AU - White John AU - Duncan David F. AU - Wyant David K. AU - Nicholson Thomas AU - Khubchandani Jagdish AU - Chekuri Lakshminarayana ED - Jennie Jacobs Kronenfeld PY - 2010 Y1 - 2010/01/01 TI - Consumer-directed health insurance vs. managed care: analysis of healthcare utilization and expenditures incurred by employees in a rural area T2 - The Impact of Demographics on Health and Health Care: Race, Ethnicity and Other Social Factors T3 - Research in the Sociology of Health Care PB - Emerald Group Publishing Limited SP - 197 EP - 214 Y2 - 2024/04/24 ER -