Health care behaviors and decision-making processes among enrollees in a state high-risk insurance pool: Focus group findings

American Journal of Health Promotion

Volumn 24, Issue 5, 2010, Pages 304-310

  Hall, Jean P ^a   Carroll, Shawna L ^a   Moore, Janice M ^a  

^a UNIVERSITY OF KANSAS   (United States)

Author keywords

Chronic illness; Disability; High risk pool insurance; Nongroup insurance

Indexed keywords

ADOLESCENT; ADULT; AGE; AGED; ARTICLE; CHRONIC DISEASE; COMPARATIVE STUDY; DECISION MAKING; DISABLED PERSON; EDUCATION; EPIDEMIOLOGY; HEALTH BEHAVIOR; HUMAN; INCOME; INFORMATION PROCESSING; INSURANCE; MIDDLE AGED; RESEARCH; SELF CARE; UNITED STATES;

ADOLESCENT; ADULT; AGE FACTORS; AGED; CHRONIC DISEASE; DECISION MAKING; DISABLED PERSONS; EDUCATION; FOCUS GROUPS; HEALTH BEHAVIOR; HUMANS; INCOME; INSURANCE POOLS; KANSAS; MIDDLE AGED; RESEARCH; SAMPLING STUDIES; SELF CARE;

EID: 77953267787     PISSN: 08901171     EISSN: None     Source Type: Journal    
DOI: 10.4278/ajhp.080613-QUAL-91     Document Type: Article

References (39)

1. Pollitz K, Bangit E. Federal aid to state high-risk pools: promoting health insurance coverage or providing fiscal relief? Issue Brief (Commonw Fund). 2005, (875): 1-12.
2. statehealthfacts.org: State High Risk Pool Costs, 2006. Available at: http://www.statehealthfacts.org/comparetable.jsp?cat=7&ind=609&:typ= 5&gsa=l. Accessed March 12, 2008.
3. Chernew ME, Gibson TB, Yu-Isenberg K, et al. Effects of increased patient cost sharing on socioeconomic disparities in health care. J Gen Intern Med. 2008;23:1131-1136.
4. Gibson TB, McLaughlin CG, Smith DG. A copayment increase for prescription drugs: the long-term and short-term effects on use and expenditures. Inquiry. 2005;42:293-310. (Pubitemid 41747113)
5. Gibson TB, Ozminkowski RJ, Goetzel RZ. The effects of prescription drug cost sharing: a review of the evidence. Am J Manag Care. 2005;11:730-740. (Pubitemid 41608213)
6. Goldman DP, Joyce GF, Escarce JJ, et al. Pharmacy benefits and the use of drugs by the chronically ill. JAMA. 2004;291:2344-2350. (Pubitemid 38656301)
7. Huskamp HP, Deverka PA, Epstein AM, et al. The effect of incentive-based formularies on prescriptiondrug utilization and spending, N Engl J Med, 2003;349:2224-2232. (Pubitemid 37485139)
8. Landsman PB, Yu W, Liu X, et al. Impact of 3-tier pharmacy benefit design and increased consumer cost-sharing on drug utilization. Am J Manag Care. 2005;11:621-628. (Pubitemid 41527682)
9. Siu AL, Sonnenberg FA, Manning WG, et al. Inappropriate use of hospitals in a randomized trial of health insurance plans. N Engl J Med. 1986;315:1259-1266. (Pubitemid 17049685)
10. Tamblyn R, Laprise R, Hanley JA, et al. Adverse events associated with prescription drug cost-sharing among poor and elderly persons. JAMA. 2001;285:421-429. (Pubitemid 32097260)
11. Trivedi AN, Rakowski W, Ayanian JZ. Effect of costsharing on screening mammography in Medicare health plans. N EngiJ Med. 2008;358:375-383. (Pubitemid 351159237)
12. Hall JP, Moore JM. Does high-risk pool coverage meet the needs of a population at risk for disability? Inquiry. 2008;45:340-352.
13. Kansas Health Policy Authority, Demonstration to Maintain Independence and Employment. US Department of Health and Human Services, Centers for Medicare and Medicaid Services grant 11-P-92389/07-01.
14. Hall JP, Moore JM. University of Kansas Center for Research on Learning: Historical Disability Outcomes of Enrollees in the Kansas High-Risk Pool: A White Paper Presented to CMS by the Kansas DMIE Project. January 2006. Available at: http://das.kucrl.org/downloads/Kansas%20DMIE%20White%20Paper% 20January%202006.pdf. Accessed October 4, 2007.
15. Sheffet AM, Ridlen S, Louria DB. Baseline behavioral assessment for the New Jersey Health Wellness Promotion Act. Am J Health Promot 2006;20:401-410. (Pubitemid 44330637)
16. Chernew M. Cost Sharing in Health Care Markets. Testimony before the Subcommittee on Health of the House Committee on Ways and Means. May 14, 2008.
17. Goldman DP, Joyce GF, Zheng Y. Prescription drug cost sharing: associations with medical utilization and spending and health. JAMA. 2007;298:61-69. (Pubitemid 47026771)
18. Hsu J, Price M, Huang J, et al. Unintended consequences of caps on Medicare drug benefits. N Engl J Med. 2008;354:2349-2359. (Pubitemid 43801280)
19. Chemew ME, Shah MR, Wegh A, et al. Impact of decreasing copayments on medication adherence within a disease management environment. Health Aff. 2008;27:103-112. (Pubitemid 351198595)
20. Pollitz K, Sorian R, Thomas K. How accessible is individual health insurance for consumers in lessthan-perfect health?. Menlo Park, Calif: The Kaiser Family Foundation, Publication 3133;2001.
21. Comprehensive health insurance for high-risk individuals-a stale-by-state analysis, 20th ed. Burnsville, Minn: National Association of State Comprehensive Healdi Insurance Plans; 2006.
22. Kaiser Family Foundation: 2003 Health Insurance Survey. Available at: http://www.kff.org/kaiserpolls/pomrll0104pkg.cfm. Accessed October 6, 2008.
23. US Department of Health and Human Services: HHS Award Grants to Twenty-Two States to Offset Costs of Insurance for Residents Too Sick for Conventional Coverage. Available at http://www.hhs.gov/news/press/2005pres/ 20051005a.html. Accessed October 9, 2008.
24. Chollet D. Expanding individual health insurance coverage: are high-risk pools the answer? Health Aff (Millwood). 2002, Suppl Web Exclusives: W349-W352.
25. Ladenheim K, High-risk insurance pools: Safety net or tightrope? Nad Conf State Legis Legisbrief. 2004;12:1-2.
26. Owen M. State high-risk pools: a weighty health care burden. Risk Insur. 2004;1-2.
27. Kaiser Commission on Medicaid and the Uninsured: Underinsured in America: Is Health Coverage Adequate? Available at: http://www.kff.org/uninsured/upload/ Underinsured-in-Arnerica-Is-Health-Coverage-Adequate-Fact-Sheet.pdf. Accessed October 4, 2007.
28. Wong M, Andersen R, Sherboume C, et al. Effects of cost sharing on care seeking and health status: results from the medical outcomes study. Am J Public Health. 2001;91:1889-1894. (Pubitemid 33031751)
29. Express Scribe Transcription Playback Software: Digital Transcription Audio Player Software. Canberra, Australia: NCH Software Pty Ltd; 2007.
30. Bernard R. Research Methods in Anthropology: Qualitative and Quantitative Approaches. Lanham, Md: Altamira; 2006.
31. Martin E. The end of the body? Am Ethnol. 1990;19:121-140.
32. Kaiser Family Foundation and Health Research and Educational Trust: Employer Health Benefits: 2004 Annual Survey. Available at: http://www kff.org/insurance/7148/upload/Employer-Health-Benefit-Survey-2004-Chartpack.pdf. Accessed March 12, 2008.
33. Turnbull N, Kane N. The Commonwealth Fund: Insuring the Healthy or Insuring the Sick? The Dilemma of Regulating the Individual Health Insurance Market Findings From a Study of Seven States. Available at: http://www. commonwealthfund.org/usr-doc/771-Turnbull-insuring-healthy-or-sick-findings.pdf? section=4039. Accessed March 12, 2008.
34. Davis K, Doty M, Ho A. The Commonwealth Fund: How High is Too High? Implications of High-Deductible Health Plans. Available at http://www. commonwealthfund.org/publications/publications-show.htm?doc-id=274007. Accessed March 12, 2008.
35. Luthy K, Peterson NE, Wilkinson J. Cost-efficient treatment for uninsured or underinsured patients with hypertension, depression, diabetes mellitus, insomnia, and gastroesophageal reflux. Am Acad Nurse Pract. 2008;20:136-143.
36. Rosen A, Hamel MB, Weinstein M, et al. Costeffectiveness of full Medicare coverage of angiotensin-converting enzyme inhibitors for beneficiaries with diabetes. Ann Intern Med. 2005;143:89-99.
37. Piette J, Heisler M, Wagner T. Cost-related medication under use: do patients with chronic illnesses tell their doctors? Arch Intern Med. 2004;164:1749-1755. (Pubitemid 39215643)
38. Choudhry N, Avorn J, Amman E, et al. Should patients receive secondary prevention medications for free after a myocardial infarction: an economic analysis. Health Aff. 2007;26:186-194.
39. Long S, King J, Coughlin T. The implications of unmet need for future healdi care use: findings for a sample of disabled Medicaid beneficiaries in New York. Inquiry. 2006;42:413-420.