PMID: 16614564Apr 15, 2006Paper

Identifying Health Maintenance Organization membership through self-report of health plan name: ascertainment and reliability

Journal of Public Health Management and Practice : JPHMP
Karen M ClementsPhillip A Wood

Abstract

To evaluate the feasibility and reliability of (1) identifying Health Maintenance Organization (HMO) membership by ascertaining self-reported health plan name in a telephone survey and (2) using external information to determine whether the plan was an HMO. Respondents to the 1999-2001 Massachusetts Behavioral Risk Factor Surveillance System (BRFSS) and the 1999 Massachusetts Colorectal Cancer (CRC) survey were asked to name their health plan. The authors used information from external sources to classify the plan as an HMO or a non-HMO. Test-retest reliability of reported plan name was examined overall, by demographic characteristics, and by health plan name. Reliability of HMO classification was tested with the kappa statistic. More than 88 percent of respondents with commercial health insurance provided their health plan name; 84 percent reported a plan that could be assigned as either an HMO or a non-HMO. The percentage whose HMO status could be assigned differed by demographic characteristics. Among those assigned, the distribution of specific HMOs among survey respondents was similar to the distribution reported by the Massachusetts Division of Insurance. In a subsample, 78 percent reported the same health plan during a f...Continue Reading

References

Sep 1, 1996·Journal of Clinical Epidemiology·R O RobertsS J Jacobsen
Jan 1, 1996·Health Affairs·S L Isaacs
Mar 23, 2001·Health Affairs·P J CunninghamM Sinclair
Apr 11, 2001·Health Care Management Review·S A Dellana, D W Glascoff

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Citations

Oct 17, 2006·Journal of Public Health Management and Practice : JPHMP·Lorelei A MucciDaniel R Brooks

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