The high-deductible trap. Will the increasingly popular option undermine accountable care?

High-deductible health plans are on the rise, but patients fearful of upfront costs can be reluctant to seek care under the plans. That undermines the goals of accountable care, which rely on timely care. "What the high-deductible health plans do is they very effectively address the cost of care, but they don't have a positive impact on the quality of care or on access," says Dr. David Shulkin, left, president of the Atlantic Accountable Care Organization.