Care Without Coverage

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Publisher : National Academies Press
ISBN 13 : 0309083435
Total Pages : 213 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis Care Without Coverage by : Institute of Medicine

Download or read book Care Without Coverage written by Institute of Medicine and published by National Academies Press. This book was released on 2002-06-20 with total page 213 pages. Available in PDF, EPUB and Kindle. Book excerpt: Many Americans believe that people who lack health insurance somehow get the care they really need. Care Without Coverage examines the real consequences for adults who lack health insurance. The study presents findings in the areas of prevention and screening, cancer, chronic illness, hospital-based care, and general health status. The committee looked at the consequences of being uninsured for people suffering from cancer, diabetes, HIV infection and AIDS, heart and kidney disease, mental illness, traumatic injuries, and heart attacks. It focused on the roughly 30 million-one in seven-working-age Americans without health insurance. This group does not include the population over 65 that is covered by Medicare or the nearly 10 million children who are uninsured in this country. The main findings of the report are that working-age Americans without health insurance are more likely to receive too little medical care and receive it too late; be sicker and die sooner; and receive poorer care when they are in the hospital, even for acute situations like a motor vehicle crash.

Crossing the Global Quality Chasm

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Publisher : National Academies Press
ISBN 13 : 0309477891
Total Pages : 399 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis Crossing the Global Quality Chasm by : National Academies of Sciences, Engineering, and Medicine

Download or read book Crossing the Global Quality Chasm written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2019-01-27 with total page 399 pages. Available in PDF, EPUB and Kindle. Book excerpt: In 2015, building on the advances of the Millennium Development Goals, the United Nations adopted Sustainable Development Goals that include an explicit commitment to achieve universal health coverage by 2030. However, enormous gaps remain between what is achievable in human health and where global health stands today, and progress has been both incomplete and unevenly distributed. In order to meet this goal, a deliberate and comprehensive effort is needed to improve the quality of health care services globally. Crossing the Global Quality Chasm: Improving Health Care Worldwide focuses on one particular shortfall in health care affecting global populations: defects in the quality of care. This study reviews the available evidence on the quality of care worldwide and makes recommendations to improve health care quality globally while expanding access to preventive and therapeutic services, with a focus in low-resource areas. Crossing the Global Quality Chasm emphasizes the organization and delivery of safe and effective care at the patient/provider interface. This study explores issues of access to services and commodities, effectiveness, safety, efficiency, and equity. Focusing on front line service delivery that can directly impact health outcomes for individuals and populations, this book will be an essential guide for key stakeholders, governments, donors, health systems, and others involved in health care.

Relating Patient Satisfaction to Insurance Coverage

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Author :
Publisher :
ISBN 13 :
Total Pages : 11 pages
Book Rating : 4.:/5 (13 download)

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Book Synopsis Relating Patient Satisfaction to Insurance Coverage by : Josef Bohm

Download or read book Relating Patient Satisfaction to Insurance Coverage written by Josef Bohm and published by . This book was released on 2014 with total page 11 pages. Available in PDF, EPUB and Kindle. Book excerpt: It is generally accepted that satisfaction with health care is multidimensional and includes many factors removed from the direct delivery of medical services. The analysis seeks to determine if patient satisfaction with health care varies by type of insurance coverage held and whether overall satisfaction is higher within market based health care systems as found in the United States. Using the National Center for Health Statistic's Joint Canadian United States Survey of Health, 8700 participants (61% American 39% Canadian) made available self-reported information on their health care utilization and health status. Comparison are made between MEDICARE, MEDICAID, employer based insurance, and the National Health Insurance of Canada. The results indicate that there is significant variation with satisfaction depending on type of insurance. When compared to the national Canadian system, American patients with employer based insurance report higher levels of satisfaction.

Health-Care Utilization as a Proxy in Disability Determination

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Author :
Publisher : National Academies Press
ISBN 13 : 030946921X
Total Pages : 161 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis Health-Care Utilization as a Proxy in Disability Determination by : National Academies of Sciences, Engineering, and Medicine

Download or read book Health-Care Utilization as a Proxy in Disability Determination written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2018-04-02 with total page 161 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Social Security Administration (SSA) administers two programs that provide benefits based on disability: the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. This report analyzes health care utilizations as they relate to impairment severity and SSA's definition of disability. Health Care Utilization as a Proxy in Disability Determination identifies types of utilizations that might be good proxies for "listing-level" severity; that is, what represents an impairment, or combination of impairments, that are severe enough to prevent a person from doing any gainful activity, regardless of age, education, or work experience.

Health Insurance is a Family Matter

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Publisher : National Academies Press
ISBN 13 : 0309169054
Total Pages : 296 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Health Insurance is a Family Matter by : Institute of Medicine

Download or read book Health Insurance is a Family Matter written by Institute of Medicine and published by National Academies Press. This book was released on 2002-09-18 with total page 296 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health Insurance is a Family Matter is the third of a series of six reports on the problems of uninsurance in the United Sates and addresses the impact on the family of not having health insurance. The book demonstrates that having one or more uninsured members in a family can have adverse consequences for everyone in the household and that the financial, physical, and emotional well-being of all members of a family may be adversely affected if any family member lacks coverage. It concludes with the finding that uninsured children have worse access to and use fewer health care services than children with insurance, including important preventive services that can have beneficial long-term effects.

Satisfaction with Health Coverage and Care

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Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (137 download)

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Book Synopsis Satisfaction with Health Coverage and Care by : Paul Fronstin

Download or read book Satisfaction with Health Coverage and Care written by Paul Fronstin and published by . This book was released on 2012 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This paper examines satisfaction with various aspects of health care by type of health plan among three groups of health-plan enrollees: those with a consumer-driven health plan (CDHP), those with a high-deductible health plan (HDHP), and those with traditional coverage. The findings presented in this paper are derived from the 2011 EBRI/MGA Consumer Engagement in Health Care Survey, an online survey that examines issues surrounding consumer-directed health care, including the cost of insurance, the cost of care, satisfaction with health care, satisfaction with health care plans, reasons for choosing a plan, and sources of health information. This paper also incorporates findings from the 2011 survey as well as findings from the 2005, 2006, and 2007 EBRI/Commonwealth Fund Consumerism in Health Care Survey, and the 2008, 2009, and 2010 EBRI/MGA Consumer Engagement in Health Care Survey. Satisfaction levels have been trending up among CDHP enrollees, and trending down among traditional-plan enrollees. Satisfaction levels with getting doctor appointments were high relative to other aspects of health care, regardless of plan type. Individuals in consumer-driven health plans (CDHPs) and high-deductible health plans (HDHPs) were less likely than those in traditional plans both to recommend their health plan or to stay with their current plan, if they had the opportunity to switch. Dissatisfaction with out-of-pocket costs may be driving overall satisfaction trends. The PDF for the above title, published in the August 2012 issue of EBRI Notes, also contains the fulltext of another August 2012 EBRI Notes article abstracted on SSRN: “Is Working to Age 70 Really the Answer for Retirement Income Adequacy?”

Redefining Health Care

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Publisher : Harvard Business Press
ISBN 13 : 1422133362
Total Pages : 540 pages
Book Rating : 4.4/5 (221 download)

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Book Synopsis Redefining Health Care by : Michael E. Porter

Download or read book Redefining Health Care written by Michael E. Porter and published by Harvard Business Press. This book was released on 2006-04-24 with total page 540 pages. Available in PDF, EPUB and Kindle. Book excerpt: The U.S. health care system is in crisis. At stake are the quality of care for millions of Americans and the financial well-being of individuals and employers squeezed by skyrocketing premiums—not to mention the stability of state and federal government budgets. In Redefining Health Care, internationally renowned strategy expert Michael Porter and innovation expert Elizabeth Teisberg reveal the underlying—and largely overlooked—causes of the problem, and provide a powerful prescription for change. The authors argue that competition currently takes place at the wrong level—among health plans, networks, and hospitals—rather than where it matters most, in the diagnosis, treatment, and prevention of specific health conditions. Participants in the system accumulate bargaining power and shift costs in a zero-sum competition, rather than creating value for patients. Based on an exhaustive study of the U.S. health care system, Redefining Health Care lays out a breakthrough framework for redefining the way competition in health care delivery takes place—and unleashing stunning improvements in quality and efficiency. With specific recommendations for hospitals, doctors, health plans, employers, and policy makers, this book shows how to move health care toward positive-sum competition that delivers lasting benefits for all.

Satisfaction With Health Coverage and Care

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Author :
Publisher :
ISBN 13 :
Total Pages : 24 pages
Book Rating : 4.:/5 (13 download)

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Book Synopsis Satisfaction With Health Coverage and Care by : Paul Fronstin

Download or read book Satisfaction With Health Coverage and Care written by Paul Fronstin and published by . This book was released on 2013 with total page 24 pages. Available in PDF, EPUB and Kindle. Book excerpt: This paper examines satisfaction with various aspects of health care by type of health plan among three groups of health-plan enrollees: those with a consumer-driven health plan (CDHP), those with a high-deductible health plan (HDHP), and those with traditional coverage. The findings presented in this paper are derived from the 2012 EBRI/MGA Consumer Engagement in Health Care Survey, an online survey that examines issues surrounding consumer-directed health care, including the cost of insurance, the cost of care, satisfaction with health care, satisfaction with health care plans, reasons for choosing a plan, and sources of health information. This paper also presents health care satisfaction trends using findings from the 2005, 2006, and 2007 EBRI/Commonwealth Fund Consumerism in Health Care Surveys, and the 2008-2011 EBRI/MGA Consumer Engagement in Health Care Surveys. While the overall satisfaction rates for CDHP enrollees increased in most years of the Consumer Engagement in Health Care Survey, satisfaction rates among traditional-plan enrollees decreased in most years of the survey. While high-deductible and CDHP enrollees were much more likely to report that they were not too or not at all satisfied with their health plan, their dissatisfaction levels appeared to be trending downward in most years of the survey. Differences in out-of-pocket costs may explain some of the difference in overall satisfaction rates. In 2012, 44 percent of traditional-plan participants were extremely or very satisfied with out-of-pocket costs (for health care services other than for prescription drugs), while 18 percent of HDHP enrollees and 27 percent of CDHP participants were extremely or very satisfied. Satisfaction levels with getting doctor appointments were high relative to other aspects of health care, regardless of plan type. As in previous years of the survey, in 2012, individuals in a CDHP or an HDHP were found to be less likely than those in a traditional plan both to recommend their health plan to friends or co-workers and to stay with their current plan if they had the opportunity to switch plans. The PDF for the above title, published in the August 2013 issue of EBRI Notes, also contains the full text of another August 2013 EBRI Notes article abstracted on SSRN: “Retirement Plan Participation: Survey of Income and Program Participation (SIPP) Data, 2012.”

Closing the Quality Gap

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Publisher :
ISBN 13 : 9781587632594
Total Pages : 7 pages
Book Rating : 4.6/5 (325 download)

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Book Synopsis Closing the Quality Gap by : Kaveh G. Shojania

Download or read book Closing the Quality Gap written by Kaveh G. Shojania and published by . This book was released on 2004 with total page 7 pages. Available in PDF, EPUB and Kindle. Book excerpt:

The Patient and Health Care System: Perspectives on High-Quality Care

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Author :
Publisher : Springer Nature
ISBN 13 : 3030465675
Total Pages : 205 pages
Book Rating : 4.0/5 (34 download)

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Book Synopsis The Patient and Health Care System: Perspectives on High-Quality Care by : Pranavi V. Sreeramoju

Download or read book The Patient and Health Care System: Perspectives on High-Quality Care written by Pranavi V. Sreeramoju and published by Springer Nature. This book was released on 2020-07-19 with total page 205 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book focuses on the interface between the patient and the healthcare system as the entryway to high-quality care and improved outcomes. Unlike other texts, this book puts the patient back in the center of care while integrating the various practices and challenges. Written by interdisciplinary experts, the book begins by evaluating the entire quality landscape before giving voice to all parties involved, including physicians, nurses, administrators, patients, and families. The text then focuses on how to develop a structure that meets needs of all of these groups, effectively addressing common threats to positive outcomes and patient satisfaction. The text tackles the most common challenges clinicians face in a hospital setting, including infection prevention, medication error and stewardship that may jeopardize recovery, complex care, and employee-patient engagement. The Patient and Healthcare System: Perspectives on High-Quality Care is an excellent resource for physicians across broad specialties, nurses, hospital administrators, social workers, patient caregivers and all healthcare professionals concerned with infection prevention, quality and safety of care delivery, and patient satisfaction.

Insuring America's Health

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Publisher : National Academies Press
ISBN 13 : 0309091055
Total Pages : 225 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis Insuring America's Health by : Institute of Medicine

Download or read book Insuring America's Health written by Institute of Medicine and published by National Academies Press. This book was released on 2004-02-14 with total page 225 pages. Available in PDF, EPUB and Kindle. Book excerpt: According to the Census Bureau, in 2003 more than 43 million Americans lacked health insurance. Being uninsured is associated with a range of adverse health, social, and economic consequences for individuals and their families, for the health care systems in their communities, and for the nation as a whole. This report is the sixth and final report in a series by the Committee on the Consequences of Uninsurance, intended to synthesize what is known about these consequences and communicate the extent and urgency of the issue to the public. Insuring America's Health recommends principles related to universality, continuity of coverage, affordability to individuals and society, and quality of care to guide health insurance reform. These principles are based on the evidence reviewed in the committee's previous five reports and on new analyses of past and present federal, state, and local efforts to reduce uninsurance. The report also demonstrates how those principles can be used to assess policy options. The committee does not recommend a specific coverage strategy. Rather, it shows how various approaches could extend coverage and achieve certain of the committee's principles.

Satisfaction With Health Coverage and Care

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Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (137 download)

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Book Synopsis Satisfaction With Health Coverage and Care by : Paul Fronstin

Download or read book Satisfaction With Health Coverage and Care written by Paul Fronstin and published by . This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This paper examines satisfaction with various aspects of health care by type of health plan. It examines satisfaction among three groups of health-plan enrollees: those with a consumer-driven health plan (CDHP), those with a high-deductible health plan (HDHP), and those with traditional coverage. The findings presented in this paper are derived from the 2014 Employee Benefit Research Institute (EBRI)/Greenwald & Associates Consumer Engagement in Health Care Survey (CEHCS), an online survey that examines issues surrounding consumer-directed health care, including the cost of insurance, the cost of care, satisfaction with health care, satisfaction with health care plans, reasons for choosing a plan, and sources of health information. This paper also presents trends in satisfaction using findings from the 2005-2007 EBRI/Commonwealth Fund Consumerism in Health Care surveys, and the 2008-2013 CEHCS. The overall satisfaction rate among CDHP enrollees increased in most years of the EBRI/Greenwald & Associates Consumer Engagement in Health Care Survey, while it decreased in most years among enrollees in traditional health care plans. Differences in out-of-pocket costs may have explained some of the differences in overall satisfaction rates. In 2014, 48 percent of traditional-plan participants were extremely or very satisfied with out-of-pocket costs (for health care services other than prescription drugs), while 19 percent of HDHP enrollees and 26 percent of CDHP participants were extremely or very satisfied. Satisfaction with out-of-pocket health care costs has been trending upward among CDHP enrollees. CDHP and HDHP enrollees were found to be less likely than those in a traditional plan both to recommend their health plan to friends or co-workers and to stay with their current health plan if they had the opportunity to switch plans. The PDF for the above title, published in the July 2015 issue of EBRI Notes, also contains the fulltext of another July 2015 EBRI Notes article abstracted on SSRN: “IRA Withdrawals in 2013 and Longitudinal Results 2010-2013.”

Unequal Treatment

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Publisher : National Academies Press
ISBN 13 : 030908265X
Total Pages : 781 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis Unequal Treatment by : Institute of Medicine

Download or read book Unequal Treatment written by Institute of Medicine and published by National Academies Press. This book was released on 2009-02-06 with total page 781 pages. Available in PDF, EPUB and Kindle. Book excerpt: Racial and ethnic disparities in health care are known to reflect access to care and other issues that arise from differing socioeconomic conditions. There is, however, increasing evidence that even after such differences are accounted for, race and ethnicity remain significant predictors of the quality of health care received. In Unequal Treatment, a panel of experts documents this evidence and explores how persons of color experience the health care environment. The book examines how disparities in treatment may arise in health care systems and looks at aspects of the clinical encounter that may contribute to such disparities. Patients' and providers' attitudes, expectations, and behavior are analyzed. How to intervene? Unequal Treatment offers recommendations for improvements in medical care financing, allocation of care, availability of language translation, community-based care, and other arenas. The committee highlights the potential of cross-cultural education to improve provider-patient communication and offers a detailed look at how to integrate cross-cultural learning within the health professions. The book concludes with recommendations for data collection and research initiatives. Unequal Treatment will be vitally important to health care policymakers, administrators, providers, educators, and students as well as advocates for people of color.

Consumer Satisfaction with Prepaid and Fee-for-service Medical Care

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Author :
Publisher :
ISBN 13 :
Total Pages : 488 pages
Book Rating : 4.:/5 (311 download)

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Book Synopsis Consumer Satisfaction with Prepaid and Fee-for-service Medical Care by : Allyson Ross Davies

Download or read book Consumer Satisfaction with Prepaid and Fee-for-service Medical Care written by Allyson Ross Davies and published by . This book was released on 1983 with total page 488 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Affordability, Utilization and Satisfaction with Care

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Publisher :
ISBN 13 :
Total Pages : 174 pages
Book Rating : 4.:/5 (1 download)

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Book Synopsis Affordability, Utilization and Satisfaction with Care by : Anushree Vichare

Download or read book Affordability, Utilization and Satisfaction with Care written by Anushree Vichare and published by . This book was released on 2017 with total page 174 pages. Available in PDF, EPUB and Kindle. Book excerpt: Disparate healthcare experiences continue to pose a challenge; vulnerable populations such as low-income and racial and ethnic minorities may not be able to afford or utilize care when needed or receive quality care. The sources of disparities are complex and multi-factorial, which include health care system-level factors such as insurance and health care workforce. It is relatively less known to what extent these contribute to disparities related to a patient's overall health care experience across three important domains -- affordability, utilization and satisfaction with care. This dissertation has three objectives. First, to assess how insurance benefit design affects health care utilization among poorest adults. Second, examine the role of insurance in addressing racial and ethnic disparities in access to preventive care. Finally, examine the role of health care providers in differences related to satisfaction with care among low-income patients. To answer questions posed in this dissertation, two different types of datasets are used: a unique hospital administrative data from a coverage program for low-income adults and 2008-2014 Medical Expenditure Panel Survey (MEPS). To examine the role of insurance and health care providers in disparities related to different outcomes of patient experience, several models are estimated; including mixed effects linear probability and negative binomial regressions, decomposition and multivariate linear probability models. Several efforts are being made to address inequalities through coverage expansions, removal of financial barriers for preventive services and incentivizing health care providers to improve patient satisfaction. The findings suggest that differences in utilization and satisfaction with care continue to persist among low-income and racial and ethnic minorities. However, policy levers and system-level reforms including value-based insurance designs that may curb healthcare costs without shifting the cost burden to poorer adults, continued reforms to expand coverage and improve access to a usual of care, and policy interventions that extend beyond improving workforce diversity and enhance provider skills to elicit patient communication preferences may foster positive patient experiences and ameliorate existing disparities. Improving patient experiences of care will thus require policy efforts with a comprehensive multi-level strategy that targets broad sectors - including payers, health care providers and society at large.

Patient Safety and Quality

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Author :
Publisher : Department of Health and Human Services
ISBN 13 :
Total Pages : 592 pages
Book Rating : 4.:/5 (318 download)

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Book Synopsis Patient Safety and Quality by : Ronda Hughes

Download or read book Patient Safety and Quality written by Ronda Hughes and published by Department of Health and Human Services. This book was released on 2008 with total page 592 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/

Satisfaction With Health Coverage and Care

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Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (137 download)

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Book Synopsis Satisfaction With Health Coverage and Care by : Paul Fronstin

Download or read book Satisfaction With Health Coverage and Care written by Paul Fronstin and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This paper examines satisfaction with various aspects of health care by type of health plan. It examines satisfaction among three groups of health-plan enrollees: those with a consumer-driven health plan (CDHP), those with a high-deductible health plan (HDHP), and those with traditional coverage. The findings presented in this paper are derived from the 2013 EBRI/Greenwald & Associates Consumer Engagement in Health Care Survey (CEHCS), an online survey that examines issues surrounding consumer-directed health care, including the cost of insurance, the cost of care, satisfaction with health care, satisfaction with health care plans, reasons for choosing a plan, and sources of health information. This paper also presents trends in satisfaction using findings from the 2005-2007 EBRI/Commonwealth Fund Consumerism in Health Care surveys, and the 2008-2012 CEHCS. The overall satisfaction rate among CDHP enrollees increased in most years of the EBRI/Greenwald & Associates CEHCS, while it decreased in most years among traditional enrollees. Differences in out-of-pocket costs may explain some of the differences in overall satisfaction rates. In 2013, 44 percent of traditional-plan participants were extremely or very satisfied with out-of-pocket costs (for health care services other than for prescription drugs), while 20 percent of HDHP enrollees and 31 percent of CDHP participants were extremely or very satisfied. Satisfaction has been trending upward among CDHP enrollees. CDHP and HDHP enrollees were less likely than those in a traditional plan both to recommend their health plan to friends or co-workers and to stay with their current health plan if they had the opportunity to switch plans. The percentage of HDHP and CDHP enrollees reporting that they would be extremely or very likely to recommend their plan to friends or co-workers has been trending upward, while it has been flat among individuals with traditional coverage. The PDF for the above title, published in the August 2014 issue of EBRI Notes, also contains the full text of another August 2014 EBRI Notes article abstracted on SSRN: “Contributory 'Negligence?' The Impact of Future Contributions to Defined Contribution Plans on Retirement Income Adequacy for Gen Xers.”