Decision-Making Experiences Of Consumers Choosing Individual-Market Health Insurance Plans.

The health insurance Marketplaces established by the Affordable Care Act include features designed to simplify the process of choosing a health plan in the individual, or nongroup, insurance market. While most individual health insurance enrollees purchase plans through the federal and state-based M...

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Publicado en:Health Affairs Vol. 38; no. 3; pp. 464 - 473
Autores principales: Hero, Joachim O., Sinaiko, Anna D., Kingsdale, Jon, Gruver, Rachel S., Galbraith, Alison A.
Formato: research tables/charts Journal Article
Publicado: Health Affairs Publishing, LLC Mar2019
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Decision-Making Experiences Of Consumers Choosing Individual-Market Health Insurance Plans.
      aug:
        au:
          Hero, Joachim O.
          Sinaiko, Anna D.
          Kingsdale, Jon
          Gruver, Rachel S.
          Galbraith, Alison A.
        affil: Research fellow in health policy at the Harvard Pilgrim Health Care Institute and Harvard Medical School, in Boston, Massachusetts
      sug:
        subj:
          Decision Making
          Consumer Attitudes
          Insurance, Health
          Health Maintenance Organizations
          Surveys
          Health Insurance Exchanges
          Health Literacy
          New Hampshire
          Random Sample
          Interviews
          Patient Protection and Affordable Care Act
          Family
          Insurance Coverage
          Descriptive Statistics
          Chi Square Test
          T-Tests
          Logistic Regression
          Shopping
          Probability
          Adult
          Middle Age
          Male
          Female
          Educational Status
          Help Seeking Behavior
          Chronic Disease
          Human
          Funding Source
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: The health insurance Marketplaces established by the Affordable Care Act include features designed to simplify the process of choosing a health plan in the individual, or nongroup, insurance market. While most individual health insurance enrollees purchase plans through the federal and state-based Marketplaces, millions also purchase plans directly from an insurance carrier (off Marketplace). This study was a descriptive comparison of the decision-making processes and shopping experiences of consumers in two states who purchased a health insurance plan from the same large insurer in 2017, either through the federal Marketplaces or off Marketplace. In a survey, those who selected plans through the Marketplaces reported less difficulty finding the best or most affordable plan than did those enrolling off Marketplace. Respondents in families with chronic health conditions who enrolled through the Marketplaces reported better overall experiences than those who enrolled off Marketplace. Respondents with low health insurance literacy reported poor experiences in enrolling both through the Marketplaces and off Marketplace. Access to consumer assistance in the individual health insurance market should target off-Marketplace populations as well as all populations with low health insurance literacy.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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