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Public sector employer evaluation of health plans in the United States

โœ 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.

โœฆ 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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