Meeting enrollees' needs: How do medicare and employer coverage stack up?

Health Affairs

Volumn 28, Issue 4, 2009, Pages

  Davis, Karen ^a   Guterman, Stuart ^a   Doty, Michelle M ^a   Stremikis, Kristof M ^b  

^a Commonwealth Fund ^*  (United States)

^b Commonwealth Fund ^*

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; BILLING AND CLAIMS; FINANCIAL MANAGEMENT; HEALTH CARE ACCESS; HEALTH CARE POLICY; HEALTH PROGRAM; HEALTH SURVEY; MEDICAL CARE; MEDICARE; PATIENT SATISFACTION; PRIVATE HEALTH INSURANCE;

ADULT; AGED; CONSUMER SATISFACTION; HEALTH BENEFIT PLANS, EMPLOYEE; HEALTH CARE SURVEYS; HEALTH STATUS; HUMANS; INSURANCE COVERAGE; MANAGED CARE PROGRAMS; MEDICARE; MIDDLE AGED; SOCIOECONOMIC FACTORS; UNITED STATES; YOUNG ADULT;

EID: 67651238316     PISSN: 02782715     EISSN: 15445208     Source Type: Journal    
DOI: 10.1377/hlthaff.28.4.w521     Document Type: Article

References (22)

1. C. Schoen, K. Davis, and S.R. Collins, "Building Blocks for Reform: Achieving Universal Coverage with Private and Public Group Health Insurance," Health Affairs 27, no. 3 (2008): 646-657.
2. K. Davis et al., "Medicare versus Private Insurance: Rhetoric and Reality," Health Affairs 21 (2002): w311-w324 (published online 9 October 2002; 10.1377/hlthaff.w2.311).
3. For more detail on the survey design, see C. Schoen et al., "How Many Are Underinsured? Trends among U.S. Adults, 2003 and 2007," Health Affairs 27, no. 4 (2008): w298-w309 (published online 10 June 2008; 10.1377/hlthaff.27.4.w298).
4. Calculated according to the American Association for Public Opinion Research Definition 1 that includes the percentage of households never reached and participation rates. The survey made at least twenty attempts to contact each randomly selected phone number during different times of the day and week over several weeks.
5. Reflecting coverage patterns for the under-sixty-five population, all but 9 percent of those with private coverage in the survey were covered through the employer-group market.
6. The exact question wording is available at Commonwealth Fund, "Final Questionnaire: 2007 Health Insurance Survey," http://www.commonwealthfund. org/usr-doc/2007-Biennial-Health-Insurance-Survey-QQ.pdf?section=4056 (accessed 27 April 2009).
7. Under the Consolidated Omnibus Budget Reconciliation Act (COBRA) of 1985, employees may retain coverage under the plan offered by their former employer for a limited time at full cost.
8. S.R. Collins, C. White, and J.L. Kriss, Whither Employer-Based Health Insurance? The Current and Future Role of U.S. Companies in the Provision and Financing of Health Insurance (New York: Commonwealth Fund, September 2007).
9. Health Policy Alternatives, Prescription Drug Coverage for Medicare Beneficiaries: An Overview of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (Washington: Henry J. Kaiser Family Foundation, January 2004);
10. and B. Biles, E. Adrion, and S. Guterman, The Continuing Cost of Privatization: Extra Payments to Medicare Advantage (New York: Commonwealth Fund, September 2008).
11. R. Helman and P. Fronstin, "2006 Health Confidence Survey: Dissatisfaction with Health Care System Doubles since 1998," EBRI Notes 27, no. 11 (November 2006), pp. 1-10, http://www.ebri.org/pdf/ notespdf/EBRI-Notes-11-20061.pdf (accessed 27 April 2009).
12. J. Lemieux, T. Chovan, and K. Heath, "Medigap Coverage and Medicare Spending: A Second Look," Health Affairs 27, no. 2 (2008): 469-477.
13. B. Briesacher et al., Medicare's Disabled Beneficiaries: The Forgotten Population in the Debate over Drug Benefits (New York: Commonwealth Fund, 2002).
14. Medicare Payment Advisory Commission, Report to the Congress: Medicare Payment Policy (Washington: MedPAC, 2006), 85.
15. R. Miller and H. Luft, "HMO Plan Performance Update: An Analysis of the Literature, 1997-2001," Health Affairs 21, no. 4 (2002): 63-86;
16. and K. Davis et al., "Choice Matters: Enrollees' Views of Their Health Plans," Health Affairs 14, no. 2 (1995): 99-112.
17. S.R. Collins et al., Will You Still Need Me? The Health and Financial Security of Older Americans: Findings from the Commonwealth Fund Survey of Older Adults (New York: Commonwealth Fund, 2005).
18. Commonwealth Fund Commission on a High Performance Health System, The Path to a High Performance U.S. Health System: A 2020 Vision and the Policies to Pave the Way (New York: Commonwealth Fund, 2009).
19. Ibid.
20. S. Guterman et al., "Using Medicare Payment Policy to Transform the Health System: A Framework for Improving Performance," Health Affairs 28, no. 2 (2009): w238-w250 (published online 27 January 2009; 10.1377/ hlthaff.28.2.w238).
21. K. Davis and S.R. Collins, "Medicare at Forty," Health Care Financing Review 27, no. 2 (2005-06): 53-62.
22. P. Fronstin and S.R. Collins, Findings from the 2007 EBRI/Commonwealth Fund Consumerism in Health Survey (New York: Commonwealth Fund, 2008).