TY - JOUR
T1 - Quality and employers' choice of health plans
AU - Chernew, Michael
AU - Gowrisankaran, Gautam
AU - McLaughlin, Catherine
AU - Gibson, Teresa
N1 - Funding Information:
We thank Jim Bost, Tim Gronniger, Tom Holmes, Tom McGuire, Michael Morrisey, Dennis Scanlon, Walter Wodchis and three anonymous referees for helpful comments regarding the analysis and data, and Ginger Smith for research assistance. We also thank Medstat and NCQA and for providing the data and support. We acknowledge funding from the US Department of Labor and funding from Agency for Healthcare Research (AHRQ) under P01 HS10771-02.
PY - 2004/5
Y1 - 2004/5
N2 - We seek to understand the relationship between employer decisions regarding which health plans firms choose to offer to their employees and the performance of those plans. We measure performance using data from the Health Plan Employer Data Information Set (HEDIS) and the Consumer Assessment of Health Plan Survey (CAHPS). We use a unique data set that lists the Health Maintenance Organizations (HMOs) available to, and offered by, large employers across markets in the year 2000, and examine the relationship between plan offerings, performance measures and other plan characteristics. We estimate two sets of specifications that differ in whether they model plan choice as a function of absolute plan performance or plan performance relative to competitors. We find that employers are more likely to offer plans with strong absolute and relative HEDIS and CAHPS performance measures. Our results are consistent with the view that large employers are responsive to the interests of their employees.
AB - We seek to understand the relationship between employer decisions regarding which health plans firms choose to offer to their employees and the performance of those plans. We measure performance using data from the Health Plan Employer Data Information Set (HEDIS) and the Consumer Assessment of Health Plan Survey (CAHPS). We use a unique data set that lists the Health Maintenance Organizations (HMOs) available to, and offered by, large employers across markets in the year 2000, and examine the relationship between plan offerings, performance measures and other plan characteristics. We estimate two sets of specifications that differ in whether they model plan choice as a function of absolute plan performance or plan performance relative to competitors. We find that employers are more likely to offer plans with strong absolute and relative HEDIS and CAHPS performance measures. Our results are consistent with the view that large employers are responsive to the interests of their employees.
KW - Fringe benefits
KW - Health insurance
KW - Health plan performance
KW - Health plan quality
KW - I1
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U2 - 10.1016/j.jhealeco.2003.09.010
DO - 10.1016/j.jhealeco.2003.09.010
M3 - Article
C2 - 15120466
AN - SCOPUS:2342598384
SN - 0167-6296
VL - 23
SP - 471
EP - 492
JO - Journal of Health Economics
JF - Journal of Health Economics
IS - 3
ER -