PMID: 11902026Mar 21, 2002Paper

Private sector unlikely to follow Medicare lead in providing health plan disenrollment comparisons

The Joint Commission Journal on Quality Improvement
Kristin L CarmanJames S Lubalin

Abstract

There have been substantial efforts to improve the measurement and reporting of comparative quality information. A three-stage effort to develop comparative voluntary disenrollment measures for private health insurance plans is described. The literature on disenrollment and how key groups might use disenrollment information is reviewed; the development of a comparative survey of disenrollment is described; reasons employers, purchasing coalitions, and plans were ultimately unwilling or unable to sponsor the survey are delineated; and implications of these findings are discussed. Methods used to develop the survey included review of existing literature on disenrollment, review of extant disenrollee surveys, cognitive testing, and expert review of the survey. Informal and formal interviews were conducted to assess the feasibility of different sponsors. A disenrollment survey instrument that covered areas of common interest to consumers, purchasers, and plans could be developed, but sponsors to test the collection and reporting of these data could not be recruited. This was due to four interrelated factors: technical challenges in developing appropriate samples, wide variation in resources and capabilities of purchasers and plans,...Continue Reading

References

May 1, 1997·Health Affairs·R UllmanR K Spoeri
Oct 7, 1997·Health Affairs·G F RileyC G Tudor
Apr 8, 1998·Medical Care Research and Review : MCRR·E A KerrA L Siu
May 17, 2000·Health Affairs·M W LegniniN J Robertson
Dec 6, 2000·Medical Care Research and Review : MCRR·F J Hellinger, H S Wong

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