Increasing The Impact Of Health Plan Report Cards By Addressing Consumers' Concerns

Hibbard, Judith H.; Harris-Kojetin, Lauren; Mullin, Paul; Lubalin, James S.; Garfinkel, Steve

doi:10.1377/hlthaff.19.5.138

Cited by 73 publications

(57 citation statements)

References 3 publications

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“…First, the performance measures for fertility clinics may either be more informative or easier to understand than those used in other settings. For example, in the case of health plan report cards, some have suggested that consumer response has been muted due to limitations in the way the information is presented (Hibbard et al, 2000;Vaiana and McGlynn, 2002), a lack of understanding on the part of consumers of the meaning of the reported measures (Hibbard and Hewett, 1997), and the possibility that the measures provide relatively little information on the dimensions of plan quality that are both unobservable and important to consumers (Bundorf and Baker, 2006). In the case of fertility clinics, in contrast, the main performance measure (births per cycle) is easy to understand and highly relevant to patients.…”

Section: Resultsmentioning

confidence: 99%

Do markets respond to quality information? The case of fertility clinics

Bundorf

Chun

Goda

et al. 2009

Journal of Health Economics

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Although policymakers have increasingly turned to provider report cards as a tool to improve health care quality, existing studies provide mixed evidence on whether they influence consumer choices. We examine the effects of providing consumers with quality information in the context of fertility clinics providing Assisted Reproductive Therapies (ART). We report three main findings. First, clinics with higher birth rates had larger market shares after the adoption of report cards relative to before. Second, clinics with a disproportionate share of young, relatively easy-to-treat patients had lower market shares after adoption versus before. This suggests that consumers take into account information on patient mix when evaluating clinic outcomes. Third, report cards had larger effects on consumers and clinics from states with ART insurance coverage mandates. We conclude that consumers respond to quality report cards when choosing among providers of ART.

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Section: Resultsmentioning

confidence: 99%

Do markets respond to quality information? The case of fertility clinics

Bundorf

Chun

Goda

et al. 2009

Journal of Health Economics

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“…Therefore, when designing report cards, efforts should be made not only to ensure their comprehensiveness and accuracy, but also to make them user-friendly and useful. The lessons learned from studies of the HEDIS (Gibbs, Sangl, & Burrus, 1996;Hibbard, Harris-Kojetin, Mullin, Lubalin, & Garfinkel, 2000) and consumer assessment of health plans (Goldstein & Fyock, 2001;McGee, Kanouse, Sofaer, Hargraves, Hoy, & Kleimann, 1999;Smith, Gerteis, Downey, Lewy, & Edgman-Levitan, 2001) report cards to determine optimal ways to present report card information should be incorporated into the design of nursing home report cards.…”

Section: Scope Of Information-multidimensional Assessmentmentioning

confidence: 99%

Enrollees Choose Priorities for Medicare

Danis¹,

Biddle²,

Goold³

2004

The Gerontologist

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Purpose: This study examined the potential role that publicly disseminated quality report cards can play in improving quality of care in nursing homes. Design and Methods: We review the literature and the experience gained over the last two decades with report cards for hospitals, physicians, and health plans, and consider the issues that are of particular importance in the context of nursing home care. Results: Experience with report cards in other areas of the health care system suggests that nursing home quality reports may have a role to play in informing consumers' choices and providing incentives for quality improvement. Their impact may, however, not be large. Methodological issues that may limit the accuracy of quality indicators and issues related to the design and comprehension of the information by consumers are discussed. Implications: Quality report cards should be viewed as one of several options to ensure higher quality nursing home care.

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“…We make the standard assumption that individuals can anticipate how a plan would choose qualities to produce a reported average. The literature on the effect of quality reports implies that individuals may simply be not very good at processing reports (Hibbard et al, 2000). The advantage of an averaged report from the standpoint of ease of understanding is a distinct point from the one we identify in this paper.…”

Section: Consumer Behavior and Informationmentioning

confidence: 68%

Optimal Quality Reporting in Markets for Health Plans

Glazer

McGuire

2016

Models of Health Plan Payment and Quality Reporting

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Quality reports about health plans and providers are becoming more prevalent in health care markets. This paper casts the decision about what information to report to consumers about health plans as a policy decision. In a market with adverse selection, complete information about quality leads to inefficient outcomes. In a Rothschild-Stiglitz model, we show that averaging quality information into a summary report can enforce pooling in health insurance, and by choice of the right weights in the averaged report, a payer or regulator can induce first-best quality choices. The optimal quality report is as powerful as optimal risk adjustment in correcting adverse selection inefficiencies.

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Increasing The Impact Of Health Plan Report Cards By Addressing Consumers' Concerns

Cited by 73 publications

References 3 publications

Do markets respond to quality information? The case of fertility clinics

Do markets respond to quality information? The case of fertility clinics

Enrollees Choose Priorities for Medicare

Optimal Quality Reporting in Markets for Health Plans

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