Enhancing employee capacity to prioritize health insurance benefits.

Objective To demonstrate that employees can gain understanding of the financial constraints involved in designing health insurance benefits. Background While employees who receive their health insurance through the workplace have much at stake as the cost of health insurance rises, they are not nece...

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Published in:Health Expectations Vol. 10; no. 3; pp. 236 - 248
Main Authors: Danis M, Goold SD, Parise C, Ginsburg M
Format: research tables/charts Journal Article
Published: Wiley-Blackwell Sep2007
Online Access:View this record in EBSCOhost
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      dt: Sep2007
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1111/j.1369-7625.2007.00442.x
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        atl: Enhancing employee capacity to prioritize health insurance benefits.
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          Danis M
          Goold SD
          Parise C
          Ginsburg M
        affil: Section on Ethics and Health Policy, National Institutes of Health, Bethesda, MD, USA.
      sug:
        subj:
          Consumer Participation
          Employer-Employee Relations
          Insurance, Health Evaluation
          Workforce Psychosocial Factors
          Adult
          California
          Chi Square Test
          Data Analysis Software
          Data Analysis, Statistical
          Descriptive Statistics
          Female
          Funding Source
          Income
          Male
          McNemar's Test
          Middle Age
          P-Value
          Paired T-Tests
          Pretest-Posttest Design
          Questionnaires
          Sex Factors
          Human
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Female
          Male
      ab: Objective To demonstrate that employees can gain understanding of the financial constraints involved in designing health insurance benefits. Background While employees who receive their health insurance through the workplace have much at stake as the cost of health insurance rises, they are not necessarily prepared to constructively participate in prioritizing their health insurance benefits in order to limit cost. Design Structured group exercises. Setting and participants Employees of 41 public and private organizations in Northern California. Intervention Administration of the CHAT (Choosing Healthplans All Together) exercise in which participants engage in deliberation to design health insurance benefits under financial constraints. Main outcome measures Change in priorities and attitudes about the need to exercise insurance cost constraints. Results Participants (N = 744) became significantly more cognizant of the need to limit insurance benefits for the sake of affordability and capable of prioritizing benefit options. Those agreeing that it is reasonable to limit health insurance coverage given the cost increased from 47% to 72%. Conclusion It is both possible and valuable to involve employees in priority setting regarding health insurance benefits through the use of structured decision tools.
      pubtype: Academic Journal
      doctype:
        research
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      ougenre: Article
    language: English
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