Presentation is loading. Please wait.

Presentation is loading. Please wait.

Consumer Directed Health Plans and Patient Activation Judith Hibbard Jessica Greene Martin Tusler University of Oregon Funding Provided by the Robert Wood.

Published byAlvin Shields Modified over 8 years ago

Similar presentations

Presentation on theme: "Consumer Directed Health Plans and Patient Activation Judith Hibbard Jessica Greene Martin Tusler University of Oregon Funding Provided by the Robert Wood."— Presentation transcript:

1 Consumer Directed Health Plans and Patient Activation Judith Hibbard Jessica Greene Martin Tusler University of Oregon Funding Provided by the Robert Wood Johnson Foundation through the HCFO Initiative

2 A Key Assumption is that CDHPs will activate consumers to become better managers of their health and health care.

3 Emerging Evidence Suggests that Consumers do change Behavior in a CDHP Seek out information Increase use of preventive care Reduce utilization Cease chronic disease medications

4 Specific Research Questions: Do the more activated choose a CDHP? Do those in a CDHP become more activated over time? Are the more activated more likely to engage in health promoting behaviors? More likely to adopt new health promoting behaviors? Are the more activated less likely to engage in unproductive behaviors? Less likely to adopt new unproductive behaviors?

5 Measuring Activation Patient Activation Measure assesses knowledge, skills, and confidence for managing health and health care Developed using qualitative methods, classical test theory, and Rasch analysis. The resulting metric, is a unidimensional, interval level, Guttman-style measure with strong psychometric properties.

6 Data Mixed mode survey (2004 and 2005) from employees offered CDHP and PPO plans in 2004 (n=2104) response rate 79%; 2005 (n=1616) response rate 80% Collapsed high deductible and low deductible CDHP in this analysis Analysis compares the PPO enrollees with those who opted into the CDHP

7 Favorable Selection into CDHP Fewer Chronic Conditions Lower Medical Claims Lower Pharmacy Claims Better Educated

8 Those who are More Activated More likely to Enroll in a CDHP PAM score by plan type Key: *** p <.001

9 Activation Did Not Change Significantly for CDHP or PPO enrollees from 2004-05 Key: Differences are not significant, Paired-Samples t-test

10 Information Seeking by Plan Type Plan type with higher likelihood of behavior Behavior20042005 Used any health website CDHP***CDHP** Used a telephone advice nurse NSNS Was persistent in asking doctor to explain questions NSNS Key: * p <.05, *** p <.001

11 Behaviors by Plan Type Plan type with higher likelihood of behavior Risky Cost Saving Behaviors 20042005 Didn't go to doctor to save money PPO*PPO* Took lower dose to save money NSNS Did not fill prescription to save money NSNS Healthy Behaviors Limited fat in diet CDHP***NS ExercisedCDHP***NS Ate 5 daily servings of fruits or vegetables NSNS Key: * p <.05, *** p <.001

12 Multivariate Analysis: Information Seeking by PAM Score in 2004 Key: * p <.05, ** p <.01, *** p <.001, Controlling for Education, Income, Age, Health, job type, gender, and survey mode PPOCDHP Legend:Did not do the behavior Did the behavior

13 Multivariate Analysis: Risky Cost-Saving Behaviors by PAM score in 2004 PPOCDHP Legend:Did not do the behavior Did the behavior Controlling for Education, Income, Age, Health, job type, gender, and survey mode

14 Multivariate Analysis: Healthy Behaviors by PAM score in 2004 Key: * p <.05, ** p <.01, *** p <.001 Controlling for Education, Income, Age, Health, job type, gender, and survey mode PPOCDHP Legend:Did not do the behavior Did the behavior

15 Multivariate Analysis: New Information Seeking by PAM score in 2005 Key: * p <.05, ** p <.01, *** p <.001, Controlling for Education, Income, Age, Health, job type, gender, and survey mode PPOCDHP Legend:Did not adopt the behavior Adopted the behavior 2567295983286616

16 Multivariate Analysis: New Risky Cost-saving Behaviors by PAM score in 2005 PPOCDHP Legend:Did not adopt the behavior Adopted the behavior Controlling for Education, Income, Age, Health, job type, gender, and survey mode 327107534011333221013

17 Multivariate Analysis: New Healthy Behaviors by PAM score in 2005 Key: * p <.05, ** p <.01 Controlling for Education, Income, Age, Health, job type, gender, and survey mode PPOCDHP Legend:Did not adopt the behavior Adopted the behavior 235737186578193586

18 Activation As a Predictor of Information Seeking Behaviors Activation As a Predictor of Information Seeking Behaviors Behavior20042005 Used any health website *** Used a telephone advice nurse **** Was persistent in asking doctor to explain ****** KEY: Based on Logistic Regressions controlling for Education, Income, Age, Self- reported Health, Gender, Hourly/Salaried, Plan Type, and Survey Mode

19 Activation as a Predictor of Behavioral Adoption Activation as a Predictor of Behavioral Adoption KEY: Based on Logistic Regressions controlling for Education, Income, Age, Self- reported Health, Gender, Hourly/Salaried, Plan Type, and Survey Mode Risky Cost Saving Behaviors 20042005 Didn't go to doctor to save money NSNS Took lower dose to save money NSNS Did not fill prescription to save money NSNS Healthy Behaviors Limited fat in diet ****** Exercised***** Ate 5 daily servings of fruits or vegetables *****

20 Summary Those more activated more likely to enroll in a CDHP Experience in a CDHP does not appear to increase activation Activation is related to many of the behaviors encouraged by health plans, this is true regardless of plan design CDHP’s good choice for those already activated

Download ppt "Consumer Directed Health Plans and Patient Activation Judith Hibbard Jessica Greene Martin Tusler University of Oregon Funding Provided by the Robert Wood."

Similar presentations

Engaging Consumers to Improve Health and Reduce Costs

Engaging Consumers to Improve Health and Reduce Costs
Hispanics and Health Care in the United States: Access, Information and Knowledge Presentation for Alliance for Health Reform/Robert Wood Johnson Foundation.

Hispanics and Health Care in the United States: Access, Information and Knowledge Presentation for Alliance for Health Reform/Robert Wood Johnson Foundation.
Effects of Telehealth on the Self Management of Heart Failure Brendon Colaco, M.B.B.S., M.H.A Kathryn H. Dansky, PhD, RN Kathryn H. Bowles, PhD, RN.

Effects of Telehealth on the Self Management of Heart Failure Brendon Colaco, M.B.B.S., M.H.A Kathryn H. Dansky, PhD, RN Kathryn H. Bowles, PhD, RN.
Increasing Patient Activation to Improve Health and Reduce Costs

Increasing Patient Activation to Improve Health and Reduce Costs
Low-Income Children Face

Low-Income Children Face
R5 Initiative Improving Access to the Right Care in the Right Place at the Right Time for the Right Reason at the Right Cost Project Overview February.

R5 Initiative Improving Access to the Right Care in the Right Place at the Right Time for the Right Reason at the Right Cost Project Overview February.
The Impact of Recent Republican Health Insurance Reform Proposals Stephen T Parente, Ph.D. & Roger Feldman, Ph.D. University of Minnesota Presented at.

The Impact of Recent Republican Health Insurance Reform Proposals Stephen T Parente, Ph.D. & Roger Feldman, Ph.D. University of Minnesota Presented at.
Community Health Assessment 2004 - 2005 San Joaquin County.

Community Health Assessment San Joaquin County.
Healthy Indiana Plan 2.0 1. Hoosier Innovation: Health Savings Accounts 1992: Hoosier pioneers medical savings accounts 2003: Tax advantaged HSAs authorized.

Healthy Indiana Plan Hoosier Innovation: Health Savings Accounts 1992: Hoosier pioneers medical savings accounts 2003: Tax advantaged HSAs authorized.
1 Skill, comprehension, and making an informed choice among health plans: An experimental study Ellen Peters, C.K. Mertz, and Judith H. Hibbard.

1 Skill, comprehension, and making an informed choice among health plans: An experimental study Ellen Peters, C.K. Mertz, and Judith H. Hibbard.
Improving health outcomes across England by providing improvement and change expertise How to Measure Patient Activation Measuring Patient Activation In.

Improving health outcomes across England by providing improvement and change expertise How to Measure Patient Activation Measuring Patient Activation In.
Myths of HSAs. HSAs are only for the healthy oNo significant difference exists between having an HDHP or a non-HDHP and reporting average to excellent.

Myths of HSAs. HSAs are only for the healthy oNo significant difference exists between having an HDHP or a non-HDHP and reporting average to excellent.
Deductible-based Health Insurance Plans: Are Complex Deductible Exemptions Confusing Patients? Mary Reed, DrPH Center for Health Policy Studies, Kaiser.

Deductible-based Health Insurance Plans: Are Complex Deductible Exemptions Confusing Patients? Mary Reed, DrPH Center for Health Policy Studies, Kaiser.
Promoting healthier eating habits for lower socioeconomic children and families By Claressa Midgette.

Promoting healthier eating habits for lower socioeconomic children and families By Claressa Midgette.
Are Primary Care Physicians Ready to Practice in a Consumer-Driven Environment? Results of a National Survey Giridhar Mallya, M.D. Robert Wood Johnson.

Are Primary Care Physicians Ready to Practice in a Consumer-Driven Environment? Results of a National Survey Giridhar Mallya, M.D. Robert Wood Johnson.
Employee Health Benefits Indiana State Personnel Department Benefits Division.

Employee Health Benefits Indiana State Personnel Department Benefits Division.
Planning, Public Policy & Management The University of Oregon June 26, 2006 Funded by Changes in Health Care Financing & Organization (HCFO), an initiative.

Planning, Public Policy & Management The University of Oregon June 26, 2006 Funded by Changes in Health Care Financing & Organization (HCFO), an initiative.
Planning, Public Policy & Management The University of Oregon Consumer Driven Health Care Summit September 14, 2006 Funded by Changes in Health Care Financing.

Planning, Public Policy & Management The University of Oregon Consumer Driven Health Care Summit September 14, 2006 Funded by Changes in Health Care Financing.
High Deductible Health Plans ​ Neeraj Sood ​ Associate Professor and Director of Research.

High Deductible Health Plans ​ Neeraj Sood ​ Associate Professor and Director of Research.
Planning, Public Policy & Management The University of Oregon Jessica Greene, PhD Judith Hibbard, DrPH James F. Murray, PhD Steven M. Teutsch MD, MPH Marc.

Planning, Public Policy & Management The University of Oregon Jessica Greene, PhD Judith Hibbard, DrPH James F. Murray, PhD Steven M. Teutsch MD, MPH Marc.

Similar presentations

Ads by Google