Greene Jessica, Hibbard Judith H, Sacks Rebecca M
Jessica Greene is a professor and associate dean of research in the School of Nursing at the George Washington University, in Washington, D.C.
Judith H. Hibbard (
Health Aff (Millwood). 2016 Apr;35(4):671-9. doi: 10.1377/hlthaff.2015.1367.
Starting in 2017, all state and federal health insurance exchanges will present quality data on health plans in addition to cost information. We analyzed variations in the current design of information on state exchanges to identify presentation approaches that encourage consumers to take quality as well as cost into account when selecting a health plan. Using an online sample of 1,025 adults, we randomly assigned participants to view the same comparative information on health plans, displayed in different ways. We found that consumers were much more likely to select a high-value plan when cost information was summarized instead of detailed, when quality stars were displayed adjacent to cost information, when consumers understood that quality stars signified the quality of medical care, and when high-value plans were highlighted with a check mark or blue ribbon. These approaches, which were equally effective for participants with higher and lower numeracy, can inform the development of future displays of plan information in the exchanges.
从2017年开始,所有州和联邦医疗保险交易所除了提供成本信息外,还将展示健康计划的质量数据。我们分析了州交易所当前信息设计的差异,以确定能鼓励消费者在选择健康计划时同时考虑质量和成本的呈现方式。我们通过对1025名成年人的在线样本进行研究,随机分配参与者以不同方式查看相同的健康计划比较信息。我们发现,当成本信息是汇总而非详细列出时、当质量星级显示在成本信息旁边时、当消费者理解质量星级代表医疗护理质量时,以及当高价值计划用复选标记或蓝丝带突出显示时,消费者选择高价值计划的可能性要大得多。这些方法对算术能力较高和较低的参与者同样有效,可为未来交易所中计划信息展示的发展提供参考。