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EMPLOYEE RESPONSE TO HEALTH PLAN PERFORMANCE RATINGS

员工对健康计划绩效评级的反应

基本信息

批准号：
2839137
负责人：
MICHAEL E CHERNEW
金额：
$ 21.5万
依托单位：
UNIVERSITY OF MICHIGAN AT ANN ARBOR
依托单位国家：
美国
项目类别：
财政年份：
1999
资助国家：
美国
起止时间：
1999-03-01 至 2001-02-28
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/2839137
关键词：
behavioral /social science research tag choice employee evaluation /testing health behavior health insurance health services research tag human subject information dissemination performance

项目摘要

The goal of this project is to examine how the release of health plan performance information influences employee health plan choices. Belief in the importance of information in today's health insurance marketplace has led to the development and dissemination of health plan report cards by employers, the media, and consumer advocacy organizations. These report cards attempt to measure plan performance along with various dimensions and are often based on the Health Plan Employer Data and Information Set (HEDIS). This analysis will be based on the health plan choices of employees of General Motor Corporation (GM) for two open enrollment periods and will exploit two sources of variation to identify the impact of information on plan choice. First, health plan choices are observed both before and after the firm leased HEDIS based plan performance ratings to non-union employees. Second, the behavior of union employees, who were not given such information, will be used to control for other factors that may have changed and affected health plan choice. Four specific research questions will be addressed. 1. Does the release of report card ratings alter enrollment in plans? If so, along which dimensions of performance. How influential are report card ratings relative to other factors, such as out-of-pocket price, that might influence plan choice? 2. Does the age of the employee affect the degree to which they are influenced by the release of report card ratings? 3. Are newly hired employees, faced with this particular set of choices for the first time, more influenced by the report card ratings? 4. To what extent do high HMO performance ratings influence individuals to switch from FFS or preferred provider plans to HMOs? Conditional and nested logit models will be estimated as well as marked share regressions, based on aggregate data, which are appropriate in unobserved plan attributes are important determinants of plan choice. Each of these methods account for the different set of choices that each employee faces. They also model the health plan choice for each employee as a function of the attributes of all plans from which employees could choose. This is important because it is the relative price and quality, not the absolute price and quality, that influence choice.

该项目的目标是研究如何发布健康计划绩效信息影响员工健康计划的选择。信仰信息在当今健康保险市场中的重要性导致了健康计划报告卡的制定和传播雇主、媒体和消费者权益组织。这些报告卡试图衡量计划的绩效以及各种维度，通常基于健康计划雇主数据和信息集（HEDIS）。该分析将基于员工的健康计划选择通用汽车公司（GM）有两个开放注册期，并将利用两种变异来源来识别信息的影响关于计划选择。首先，在之前和之后观察健康计划的选择在公司将基于 HEDIS 的计划绩效评级出租给非工会之后雇员。二、工会员工的行为，没有给予此类信息将用于控制可能的其他因素已经改变并影响健康计划的选择。将解决四个具体研究问题。 1. 成绩单评级的发布是否会改变计划的注册情况？如果那么，绩效的维度。报告影响力有多大相对于其他因素的卡评级，例如自付费用，这可能会影响计划选择？ 2、员工的年龄是否影响其工作程度受成绩单公布影响？ 3.是新入职的员工，面临着这组特定的选择第一次，成绩单收视率影响更大？ 4. 高 HMO 绩效评级对个人的影响有多大从 FFS 或首选提供商计划转向 HMO？将估计并标记条件和嵌套 Logit 模型分享基于汇总数据的回归，这些回归适用于未观察到的计划属性是计划选择的重要决定因素。这些方法中的每一种都考虑了不同的选择集员工面孔。他们还为每位员工的健康计划选择建模作为员工可以从中获得的所有计划属性的函数选择。这很重要，因为它是相对价格和质量，影响选择的不是绝对的价格和质量。