Economics in Healthcare
Consider the four health plans below with an eye to choosing one to offer to the company’s employees. Assume that the health plans and their annual per employee premiums are as follows:
Health Plan Premium, Individual Premium, Family
Aetna Health $4,555 $11,428
MetroPlus $4,267 $10,540
Empire $4,217 $10,767
Oxford $6,029 $13,417
The employer will pay 80% of the premium for individual coverage, and the employee will pay the remaining 20% as well as the entire additional premium for family coverage. (The premiums listed above, while realistic in magnitude, are hypothetical and computed solely for the purpose of this project.) All of the plans are managed care plans. Assume that the benefit package is the same across all plans, so there is no difference between them in what services are covered.
In addition to the above data, click here (https://www.health.ny.gov/health_care/managed_care/reports/quality_performance_improvement.htm#link3) to access the latest report for ‘Health Plan Comparison in New York State’. Review the online report and incorporate relevant information into your evaluation.
You can view the various categories of measures on which health plans are rated (e.g., Access to Care, Adult Living with Illness, etc.). Click each link for a summary chart that presents the performance (usually as a percentage score) of each plan in the group on the relevant measures and how each plan compares to regional and statewide scores.
Provide an analysis that outlines the plan you selected and why. Generally, you would select the plan with the highest score, but if you chose a plan with a lower score, explain why. Include the following elements in your analysis:
· Explain which factors (e.g., price and/or performance measures) were most important to your choice of plan and how you derived the weights for each factor you used.
· Indicate, on a scale of 1 to 10, how comfortable or confident you are that you made the right choice, with 10 being most confident.
You need to use the multi-attribute utility (MAU) technique to respond to the following questions. Although the technique can be performed with pencil and paper, it is recommended you use a Microsoft Excel to do the various calculations involved.
Click the following links to access the information on using the MAU technique:
· MAU Model
· MAU Example
· Compare your level of confidence at the time you completed Part I to your confidence level for Part II, when you used this decision aid.
· Was it helpful? What were its advantages and disadvantages?
Did it make the decision harder to make or easier to justify?
Hahn, W.J., Seaman, S.L., & Bikel, R. (2012). Making decisions with multiple attributes. Retrieved from http://gbr.pepperdine.edu/2012/08/making-decisions-with-multiple-attributes-a-case-in-sustainability-planning/.