TY - JOUR
T1 - HEDIS measures and managed care enrollment
AU - Scanlon, Dennis P.
AU - Chernew, Michael
PY - 1999/5/29
Y1 - 1999/5/29
N2 - This article examines the relationship between 1996 health plan enrollment and both HEDIS-based plan performance ratings and individual HEDIS measures. Data were obtained from a large firm that collected, aggregated, and disseminated plan performance ratings to its employees. Plan market share regressions are estimated controlling for out-of-pocket price and model type in addition to the plan ratings and HEDIS measures. The results suggest that employees did not respond strongly to the provided ratings. There are several potential explanations for the lack of response, including difficulty understanding the ratings and never having seen them. In addition, employees may base their plan choices on information that is obtained from their own past experience, friends, family, and colleagues. The pattern of results suggests that such information is important. Counterintuitive signs most likely reflect an inverse correlation between some HEDIS ratings (or measures) and attributes employees observe informally.
AB - This article examines the relationship between 1996 health plan enrollment and both HEDIS-based plan performance ratings and individual HEDIS measures. Data were obtained from a large firm that collected, aggregated, and disseminated plan performance ratings to its employees. Plan market share regressions are estimated controlling for out-of-pocket price and model type in addition to the plan ratings and HEDIS measures. The results suggest that employees did not respond strongly to the provided ratings. There are several potential explanations for the lack of response, including difficulty understanding the ratings and never having seen them. In addition, employees may base their plan choices on information that is obtained from their own past experience, friends, family, and colleagues. The pattern of results suggests that such information is important. Counterintuitive signs most likely reflect an inverse correlation between some HEDIS ratings (or measures) and attributes employees observe informally.
UR - http://www.scopus.com/inward/record.url?scp=0032958734&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0032958734&partnerID=8YFLogxK
U2 - 10.1177/107755899773743864
DO - 10.1177/107755899773743864
M3 - Article
C2 - 10327824
AN - SCOPUS:0032958734
SN - 1077-5587
VL - 56
SP - 60
EP - 84
JO - Medical Care Research and Review
JF - Medical Care Research and Review
IS - SUPPL. 2
ER -