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Disenrollment information and medicare plan choice: is more information better?
- Article from:
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Health Care Financing Review
- Article date:
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March 22, 2007
- Author:
- Spranca, Mark D.; Elliott, Marc N.; Shaw, Rebecca; Kanouse, David E.
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Copyright informationCOPYRIGHT 2007 U.S. Department of Health and Human Services. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan. All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)
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To help Medicare beneficiaries and their intermediaries select the best health plan, CMS publicly reports comparative plan information. Using a laboratory version of Medicare Health Plan Compare that involved a simulated plan choice by 359 Medicare intermediaries, we experimentally investigated plan recommendations with and without disenrollment information and time constraints for viewing materials. Results indicated that the presence of disenrollment information reduced time spent on other measures of plan performance. It also reduced decision quality for less educated intermediaries. Designers and sponsors of consumer-oriented materials should recognize that more information is not ...
<0.05). Intermediaries' strong preference for high CAHPS[R]/HEDIS[R] plans persists, but their preference for low cost/benefit plans is no longer significant (p><0.05) and otherwise showed no preference (OR=0.96, p>
<$20,000 1
$20,001-$40,000 9
$40,001-$60,00020
$60,001-$80,00023
$80,001-$100,000 19><1
Between Once a Year and Once a Week20
Once a Day 30
More than Once a Day 51
Ever Used Internet to Find Health Information?
Yes80
No 20
(1) N=359.
SOURCE: Spranca, M., Elliott, M., Shaw, R., and Kanouse, D., RAND
Corporation, Santa Monica, CA, 2001.
Table 2
Characteristics of the Medicare Beneficiaries,
as Reported by the Medicare Intermediaries
Characteristic Percent
Sex (1)
Female 51
Male 24
Unknown25
Overall Health Status
Excellent 3.9
Very good12.4
Good 28.4
Fair 37.1
Poor 18.3
Medical Illnesses or Conditions
High Blood Pressure 55.7
Diabetes 22.3
Alzheimer's Disease 8.1
Stroke9.5
Cancer 12.8
Asthma8.9
Heart Disease 22
Length of Time on Medicare
23 Months or Less 9.3
2-5 Years 18
6-10 Years 31.5>