Evolution In The Buyers Health Care Action Group Purchasing Initiative-Reference-Cited by-同舟云学术

Evolution In The Buyers Health Care Action Group Purchasing Initiative

Published:2002-01 Issue:1 Volume:21 Page:76-88
ISSN:0278-2715
Container-title:Health Affairs
language:en
Short-container-title:Health Affairs

Author:

Christianson Jon B.,Feldman Roger

Publisher

Health Affairs (Project Hope)

Subject

Health Policy

Reference6 articles.

1. J. Christianson et al. “Early Experience with a New Model of Employer Group Purchasing in Minnesota,”Health Affairs(Nov/Dec 1999 ): 100 –114.

2. A. Lyles et al. “Cost and Quality Trends in Direct Contracting Arrangements,”Health Affairs(Jan/Feb 2002 ): 89 –102.

3. D. Knutson , “Case Study: The Minneapolis Buyers Health Care Action Group,”Inquiry(Summer 1998 ): 171 –177.

4. A. Robinow , “Ensuring Health Care Quality: A Purchaser’s Perspective—A Health Care Coalition,”Clinical Therapeutics19, no. 6 ( 1997 ): 1545 –1554.

5. The survey was timed so that surveyed employees would remember the types of information and the decision-making process they used to select a care system in 1998. The survey was conducted with nineteen of the twenty-six BHCAG employers that had made a commitment to offer Choice Plus as their only health plan. This simplified the analysis by enabling us to focus on a subset of employees, all of whom faced the same choices. Within these nineteen firms, employees were sampled randomly, but the samples were stratified to increase the probability of drawing employees from the smaller companies. This approach ensured that employees from smaller firms were represented in the data. To be included in the survey, employees had to be enrolled in Choice Plus, with no eligibility for dual or substitute coverage through other public or private health insurance programs. We continued the survey until 999 employees with single coverage (91 percent response rate) and 912 families (96 percent response rate) had been interviewed. The survey contained questions on the types of information used to select a care system, employees’ health status and medical care use, their experience with primary care doctors, and demographic information. We supplemented the employee survey with data obtained directly from the employers, regarding the out-of-pocket premium for each cost tier and the initiatives they used to distribute information on the cost and quality of care systems. Published or forthcoming papers using the survey data include R. Feldman, J. Christianson, and J. Schultz, “Do Consumers Use Information to Choose a Health Care Provider System?”Milbank Memorial Quarterly(March 2000 ): 47 –77

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