Mattke Soeren, Van Busum Kristin R, Martsolf Grant R
Rand Health Q. 2014 Jun 1;4(2):5. eCollection 2014 Summer.
The Patient Protection and Affordable Care Act (ACA) places strong emphasis on quality of care as a means to improve outcomes for Americans and promote the financial sustainability of our health care system. Included in the ACA are new disclosure requirements that require health plans to provide a summary of benefits and coverage that accurately describes the benefits under the plan or coverage. These requirements are intended to support employers' procurement of high-value health coverage for their employees. This study attempts to help employers understand the structural differences between health plans and the performance dimensions along which plans can differ, as well as to educate employers about available tools that can be used to evaluate plan options. The study also discusses the extent to which these and other tools or resources are used by employers to inform choices between health plans.
《患者保护与平价医疗法案》（ACA）高度重视医疗质量，将其作为改善美国民众医疗结果以及促进我们医疗体系财务可持续性的一种手段。ACA 包含新的披露要求，即要求健康保险计划提供福利和保险范围摘要，准确描述该计划或保险范围内的福利。这些要求旨在支持雇主为其员工购买高价值的健康保险。本研究试图帮助雇主了解健康保险计划之间的结构差异以及计划可能存在差异的绩效维度，同时向雇主介绍可用于评估保险计划选项的现有工具。该研究还讨论了雇主在多大程度上使用这些及其他工具或资源来为健康保险计划之间的选择提供参考。
