HEDIS measures and managed care enrollment

Dennis Patrick Scanlon, Michael Chernew

Research output: Contribution to journalArticle

32 Citations (Scopus)

Abstract

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.

Original languageEnglish (US)
Pages (from-to)60-84
Number of pages25
JournalMedical Care Research and Review
Volume56
Issue numberSUPPL. 2
DOIs
StatePublished - May 29 1999

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Managed Care Programs
managed care
rating
Health
employee
market share
performance
firm
regression
lack
health
experience

All Science Journal Classification (ASJC) codes

  • Health Policy

Cite this

Scanlon, Dennis Patrick ; Chernew, Michael. / HEDIS measures and managed care enrollment. In: Medical Care Research and Review. 1999 ; Vol. 56, No. SUPPL. 2. pp. 60-84.
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HEDIS measures and managed care enrollment. / Scanlon, Dennis Patrick; Chernew, Michael.

In: Medical Care Research and Review, Vol. 56, No. SUPPL. 2, 29.05.1999, p. 60-84.

Research output: Contribution to journalArticle

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