## Background: Two case studies are presented of public sector occupational health and safety (ohs) program evaluations, one of an occupational medicine and safety program (omsp), one of an employee assistance and wellness program (eawp). ## Methods: Both audits involved interviews with key perso
Public sector employer evaluation of health plans in the United States
โ Scribed by Ronald W. Perry; N. Joseph Cayer
- Publisher
- John Wiley and Sons
- Year
- 1998
- Tongue
- English
- Weight
- 123 KB
- Volume
- 13
- Category
- Article
- ISSN
- 0749-6753
No coin nor oath required. For personal study only.
โฆ Synopsis
Recently, public employers have experimented with dierent types of health plans including Indemnity, Health Maintenance Organization (HMO) and Preferred Provider Organization (PPO) plans. This study examines factors that are related to municipal employer satisfaction with each type of plan. The data are drawn from the International City/County Management Association (ICMA) of municipal healthcare practices in 3301 US cities. Many more cities than anticipated used only indemnity plans, although there was widespread experimentation with managed care plans. Jurisdictions that oered only one type of plan showed highest satisfaction levels with HMOs, followed by PPOs and indemnity plans. In jurisdictions that oered multiple plans, patterns of satisfaction varied with the types of plans involved. Three factors were found to be correlated with employer plan satisfaction. As employee complaints and cost to the jurisdiction increased, plan satisfaction decreased. As the number of services oered by a plan increased, plan satisfaction also increased. While most municipalities contracted for health plans as individual employers, a small proportion contracted as part of a consortium: there was no statistically signiยฎcant dierence in satisfaction levels between the two arrangements.
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