Limits...
Medicaid consumers and informed decisionmaking.

Greene J, Peters E - Health Care Financ Rev (2009)

Bottom Line: In 2006, Florida's Medicaid reform required some Medicaid consumers to enroll in health plans that differed in terms of cost-sharing requirements and benefit limitations.In focus groups we found enthusiasm among Medicaid consumers for having choices among health plans; however, enthusiasm did not translate into comparison shopping for health plans.Given the number of plans offered and the numerous ways they differed, our efforts to simplify the comparison chart resulted in slightly higher comprehension, but only among those with higher skill levels.

View Article: PubMed Central - PubMed

Affiliation: Department of Planning, Public Policy and Management, University of Oregon, Eugene 97405, USA. jessicag@uoregon.edu

ABSTRACT
In 2006, Florida's Medicaid reform required some Medicaid consumers to enroll in health plans that differed in terms of cost-sharing requirements and benefit limitations. In focus groups we found enthusiasm among Medicaid consumers for having choices among health plans; however, enthusiasm did not translate into comparison shopping for health plans. Survey findings suggested that Medicaid consumers had difficulty comprehending Medicaid health-plan comparison information, particularly if they were lower in numeracy or literacy skills. Given the number of plans offered and the numerous ways they differed, our efforts to simplify the comparison chart resulted in slightly higher comprehension, but only among those with higher skill levels. Our study suggests that policymakers should seek to simplify Medicaid Program information and design to encourage informed decisionmaking.

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Actual Medicaid Reform Plan Comparison Chart for Duval County, Florida
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Related In: Results  -  Collection


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f1-hcfr-30-03-025: Actual Medicaid Reform Plan Comparison Chart for Duval County, Florida

Mentions: The third factor was the complexity of the Medicaid health plan comparison chart. The official Medicaid health plan comparison chart in Duval County (includes the City of Jacksonville) was complex, with seven plans compared across 27 attributes. The font size in the chart was smaller than is recommended by low literacy guidelines and the structure was complex with information on copayments and benefit limitations nested in two columns under each plan (Figure 1) (Doak, Doak, and Root, 1996). Prior experimental studies have found that providing simpler information can result in higher consumer comprehension and more high value choices (Gerteis et al., 2007; Hibbard et al., 2001; Hibbard et al., 2002; Peters et al., 2007). We sought to simplify the presentation based on low literacy principles in order to test whether a revised version containing the same information would result in higher comprehension levels. We hypothesized that a less complex chart would result in greater comprehension of information, however, we were unsure whether the complexity reduction would be sufficient to help the less skilled or whether it might only help the higher skilled enrollees.


Medicaid consumers and informed decisionmaking.

Greene J, Peters E - Health Care Financ Rev (2009)

Actual Medicaid Reform Plan Comparison Chart for Duval County, Florida
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4195072&req=5

f1-hcfr-30-03-025: Actual Medicaid Reform Plan Comparison Chart for Duval County, Florida
Mentions: The third factor was the complexity of the Medicaid health plan comparison chart. The official Medicaid health plan comparison chart in Duval County (includes the City of Jacksonville) was complex, with seven plans compared across 27 attributes. The font size in the chart was smaller than is recommended by low literacy guidelines and the structure was complex with information on copayments and benefit limitations nested in two columns under each plan (Figure 1) (Doak, Doak, and Root, 1996). Prior experimental studies have found that providing simpler information can result in higher consumer comprehension and more high value choices (Gerteis et al., 2007; Hibbard et al., 2001; Hibbard et al., 2002; Peters et al., 2007). We sought to simplify the presentation based on low literacy principles in order to test whether a revised version containing the same information would result in higher comprehension levels. We hypothesized that a less complex chart would result in greater comprehension of information, however, we were unsure whether the complexity reduction would be sufficient to help the less skilled or whether it might only help the higher skilled enrollees.

Bottom Line: In 2006, Florida's Medicaid reform required some Medicaid consumers to enroll in health plans that differed in terms of cost-sharing requirements and benefit limitations.In focus groups we found enthusiasm among Medicaid consumers for having choices among health plans; however, enthusiasm did not translate into comparison shopping for health plans.Given the number of plans offered and the numerous ways they differed, our efforts to simplify the comparison chart resulted in slightly higher comprehension, but only among those with higher skill levels.

View Article: PubMed Central - PubMed

Affiliation: Department of Planning, Public Policy and Management, University of Oregon, Eugene 97405, USA. jessicag@uoregon.edu

ABSTRACT
In 2006, Florida's Medicaid reform required some Medicaid consumers to enroll in health plans that differed in terms of cost-sharing requirements and benefit limitations. In focus groups we found enthusiasm among Medicaid consumers for having choices among health plans; however, enthusiasm did not translate into comparison shopping for health plans. Survey findings suggested that Medicaid consumers had difficulty comprehending Medicaid health-plan comparison information, particularly if they were lower in numeracy or literacy skills. Given the number of plans offered and the numerous ways they differed, our efforts to simplify the comparison chart resulted in slightly higher comprehension, but only among those with higher skill levels. Our study suggests that policymakers should seek to simplify Medicaid Program information and design to encourage informed decisionmaking.

Show MeSH