|
Sign In to gain access to subscriptions and/or personal tools.
|
Medical Care Research and Review, Vol. 63, No. 6,
701-718 (2006)
DOI: 10.1177/1077558706293636
Do Content and Format Affect Older Consumers Use of Comparative Information in a Medicare Health Plan Choice? Results from a Controlled Experiment
Jennifer D. Uhrig
RTI International
Lauren Harris-Kojetin
Institute for the Future of Aging Services, AAHSA
Carla Bann
RTI International
Tzy-Mey Kuo
RTI International
We assessed the efficacy of materials that integrated comparative information on cost, benefits, and quality for employer-based retiree health plans and Medicare Advantage plans in a randomized experiment to test the impact of content and format. Results indicate that older consumers who received the intervention materials found the materials easier to use, gained greater knowledge about Medicare from them, were more likely to value comparative quality information, were more likely to select higher quality plans, and were more likely to choose a plan that reflected the dimensions they found most important compared to older consumers receiving the control materials.
Key Words: Medicare health insurance health plan choice CAHPS HEDIS
References
- Bann, C. M., N. Berkman, and M. Kuo. 2004. Insurance knowledge and decision-making practices among Medicare beneficiaries. Medical Care 42(11): 1091-1099.[CrossRef][ISI][Medline]
[Order article via Infotrieve]
- Bettman, J. R. 1979. An information processing theory of consumer choice. Reading, MA: Addison-Wesley.
- Cafferata, C. 1984. Knowledge of their health insurance coverage by the elderly. Medical Care 22(9): 835-847.[CrossRef][ISI][Medline]
[Order article via Infotrieve]
- Harris-Kojetin, L. D., L. A. McCormack, E. F. Jael, and K. S. Lissy. 2001. Beneficiaries perceptions of new Medicare health plan choice print materials. Health Care Financing Review 23(1): 21-35.[Medline]
[Order article via Infotrieve]
- Harris-Kojetin, L. D., L. A. McCormack, E. F. Jael, J. A. Sangl, and S. A. Garfinkel. 2001. Creating more effective health plan quality reports for consumers: Lessons from a synthesis of qualitative testing. Health Services Research 36(3): 447-476.[ISI][Medline]
[Order article via Infotrieve]
- Harris-Kojetin, L. D., J. D. Uhrig, P. Williams, C. Bann, E. Frentzel, L. McCormack, N. Mitchell, and N. West. 2006. The "choose with care system"Development of education materials to support informed Medicare health plan choices. Journal of Health Communication, in press.
- Hibbard, J. H., J. J. Jewitt, S. Englemann, and M. Tusler. 1998. Can Medicare beneficiaries make informed choices? Health Affairs 17(8): 181-193.[Medline]
[Order article via Infotrieve]
- Hibbard, J. H., P. Slovic, and J. J. Jewett. 1997. Informing consumer decisions in health care: Implications from decision-making research. The Milbank Quarterly 75(3): 395-414.[CrossRef][ISI][Medline]
[Order article via Infotrieve]
- Hibbard, J. H., P. Slovic, E. Peters, and M. L. Finucane. 2002. Strategies for reporting health plan performance information to consumers: Evidence from controlled studies. Health Services Research 37(2): 291-313.[CrossRef][ISI][Medline]
[Order article via Infotrieve]
- Hibbard, J. H., P. Slovic, E. Peters, M. L. Finucane, and M. Tusler. 2001. Is the informed-choice policy approach appropriate for Medicare beneficiaries? Health Affairs 20(3): 199-203.[Free Full Text]
- Lubalin, J., and L. Harris-Kojetin. 1999. What do consumers want and need to know in making health care choices? Medical Care Research and Review 56(supp. 1): 67-102.[Abstract]
- McArdle, F. B., P. Neuman, M. Kitchman, K. Kirland, and D. Yamamoto. 2004. Large firms retiree health benefits before Medicare reform: 2003 survey results. Health Affairs, Web exclusive. Retrieved August 31, 2004, from http://content.healthaffairs.org/cgi/content/abstract/hlthaff.w4.7.
- McCormack, L. A., W. Anderson, M. Kuo, S. Daugherty, C. Bann, and J. H. Hibbard. 2001. Measuring beneficiary knowledge in two randomized experiments. Health Care Financing Review 23(1): 47-62.[Medline]
[Order article via Infotrieve]
- McCormack, L. A., B. B. Burrus, S. A. Garfinkel, D. Gibbs, L. D. Harris-Kojetin, and J. A. Sangl. 2001. Providing information to help Medicare beneficiaries choose a health plan. Journal of Aging and Social Policy 12(2): 49-72.
- McCormack, L. A., J. R. Gabel, N. D. Berkman, H. Whitmore, K. Hutchison, W. Anderson, J. Pickreign, and N. West. 2002. Retiree health insurance: Recent trends and tomorrows prospects. Health Care Financing Review 23(3): 17-34.[Medline]
[Order article via Infotrieve]
- McCormack, L. A., S. A. Garfinkel, J. H. Hibbard, S. D. Keller, K. E. Kilpatrick, and B. Kosiak. 2002. Health insurance knowledge among Medicare beneficiaries. Health Services Research 37(10): 41-61.
- McCormack, L. A., and J. D. Uhrig. 2003. How does beneficiary knowledge of the Medicare program vary by type of insurance? Medical Care 41(8): 972-978.[CrossRef][ISI][Medline]
[Order article via Infotrieve]
- Rice, T., N. T. McCall, and J. Sangl. 1986. Consumer knowledge of medicare and supplemental health insurance benefits. Health Services Research 20(6): 633-637.[ISI][Medline]
[Order article via Infotrieve]
- Short, P. F., L. McCormack, J. Hibbard, J. A. Shaul, L. Harris-Kojetin, M. H. Fox, P. Damiano, J. D. Uhrig, and P. D. Cleary. 2002. Similarities and differences in choosing health plans. Medical Care 40(4): 289-302.[CrossRef][ISI][Medline]
[Order article via Infotrieve]
- Uhrig, J. D., and P. F. Short. 2002/2003. Testing the effect of quality reports on the health plan choices of Medicare beneficiaries. Inquiry 39: 355-371.[Medline]
[Order article via Infotrieve]

CiteULike Connotea Del.icio.us Digg Reddit Technorati What's this?
|