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Public Reporting Formats That Motivate Older Consumers to Compare Medicare Health Plan Options
Presented at AcademyHealth 2004
Presented by Nancy Mitchell
San Diego, CAJune 6-8, 2004
1615 M Street, NW · Suite 740 · Washington, DC 20036Phone: 202-728-2082 · Fax: 202-728-2095 · [email protected] · www.rti.org
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Authors and funding
Authors: Nancy Mitchell, BA Elizabeth Frentzel, MPH Jennifer D. Uhrig, Ph.D. Peyton Williams, BA Philip Salib, BA Lauren Harris-Kojetin, Ph.D.
Supported by grant number R18 HS11008 from the Agency for Healthcare Research and Quality
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Rationale for the study
Approximately 200,000 persons age into Medicare every year Complex health care market Health and financial consequences of an uniformed
choice Benefits of using comparative quality information
Employers are in a position to counsel Medicare-eligible employees and retirees No standard method across employers to accomplish
this Current materials do not integrate cost, benefits,
quality and rules Current materials are very detailed
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Research Objectives
To develop, test and evaluate integrated print- and web-based materials to assist pre-Medicare employees and retirees in choosing a Medicare health plan Conducted formative research Developed, cognitively tested and evaluated
materials
This presentation will focus on the development and cognitive testing of the materials
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Theoretical Application
Prochaska and DiClemente’s Stages of Change Model People are in 1 of 6 different stages of change Target audience in a pre-contemplation or
contemplation stage Developed three products to help move target
audience to action stage
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Theoretical Application con’t
Bettman’s Cognitive Information Processing Model Limited ability to process information Kept information concise Selected content based on what consumers report
as most helpful for choosing a health plan Sensitive to reading level and format style
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Methods
Materials reviewed by consumer reporting experts
5 rounds of cognitive testing interviews conducted with 48 employees and retirees Ages 58 – 64 In Oregon, North Carolina, and Washington, DC
Materials revised after each round of review and testing
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Product 1: Bookmark
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Product 2: Booklet
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Product 3: Booklet and Interactive Website
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Principal Findings
Mechanics of the Presentation
Liked the idea of receiving bookmark prior to the other products
Preferred photographs of people within their age range
Had difficulty understanding generic descriptions of health plan options
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Principal Findings (con’t)
Mechanics of the Presentation
Had difficulty understanding differences in cost
Liked the look and layout of products
Used the worksheet to track factors influencing their decisions
Trusted the information
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Principal Findings (con’t)
Plan Choice
Reported that products were easy to use
Understood the quality data
Wanted information about whether their doctor participated in plans
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Implications for Policy and Practice
Mechanics of the Presentation
Remove descriptions of generic plan types
Present only key elements of cost data
Keep information concise and eliminate non-essential details
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Implications for Policy and Practice
Plan Choice
Enable employees and retirees to make a more informed plan choice Materials reduce complexity of factors to consider
and make the decision more manageable Facilitate use of comparative information