For Third Enrollment Period, Marketplaces Expand Decision Support Tools To Assist Consumers.
| Autor: | Wong CA; Charlene A. Wong (charwong@upenn.edu) is a pediatrician in the Division of Adolescent Medicine at the University of Pennsylvania, in Philadelphia, and the Children's Hospital of Philadelphia., Polsky DE; Daniel E. Polsky is a professor of medicine, the Robert D. Eilers Professor in Health Care Management, and executive director of the Leonard Davis Institute of Health Economics, all at the University of Pennsylvania., Jones AT; Arthur T. Jones is a research associate in the Leonard Davis Institute of Health Economics, University of Pennsylvania., Weiner J; Janet Weiner is associate director for health policy in the Leonard Davis Institute of Health Economics, University of Pennsylvania., Town RJ; Robert J. Town is the Gilbert and Shelly Harrison Professor of Health Care Management in the Wharton School, University of Pennsylvania., Baker T; Tom Baker is the William Maul Measey Professor of Law and Health Sciences at the University of Pennsylvania Law School. |
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| Jazyk: | angličtina |
| Zdroj: | Health affairs (Project Hope) [Health Aff (Millwood)] 2016 Apr; Vol. 35 (4), pp. 680-7. |
| DOI: | 10.1377/hlthaff.2015.1637 |
| Abstrakt: | The design of the Affordable Care Act's online health insurance Marketplaces can improve how consumers make complex health plan choices. We examined the choice environment on the state-based Marketplaces and HealthCare.gov in the third open enrollment period. Compared to previous enrollment periods, we found greater adoption of some decision support tools, such as total cost estimators and integrated provider lookups. Total cost estimators differed in how they generated estimates: In some Marketplaces, consumers categorized their own utilization, while in others, consumers answered detailed questions and were assigned a utilization profile. The tools available before creating an account (in the window-shopping period) and afterward (in the real-shopping period) differed in several Marketplaces. For example, five Marketplaces provided total cost estimators to window shoppers, but only two provided them to real shoppers. Further research is needed on the impact of different choice environments and on which tools are most effective in helping consumers pick optimal plans. (Project HOPE—The People-to-People Health Foundation, Inc.) |
| Databáze: | MEDLINE |
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