Final Technical Report for DHHS Contract HHSP23320054301ER
Please do not circulate without permission of the authors or the Office of the Assistant Secretary of the Department of Health and Human Services.
January 21, 2007
Stephen T. Parente, Ph.D.
Roger Feldman, Ph.D.
SCHOOL OF MANAGEMENT
UNIVERSITY OF MINNESOTA
The focus of this study was on the non-price program features that influence the enrollment of non-elderly adults into voluntary state and local programs that subsidize coverage or care. The study consisted of two phases -- Phase 1 was a literature review to assess the current state of knowledge regarding the impact of non-price design features on enrollment. Information gathered from this literature was used to inform Phase 2, which consisted of discussions with 67 program directors and other key informants from 17 subsidized coverage programs across the country. The key findings of the study are as follows:
- There is inadequate knowledge to guide program designers
- Outreach is critical
- A broad spectrum of partnerships is key for creating awareness that leads to enrollment
- Applicants need a high level of insurance counseling and applications assistance
- Program officials need to manage expectations and avoid negative perceptions
- Programs that target adults directly attract enrollment much more easily than programs that involve employers
Material contained in this publication is in the public domain and may be reproduced, fully or partially, without permission of the Federal Government. The courtesy of attribution is requested. The recommended citation follows:
Office of Health Policy, ASPE(2008) Continuation of Research on Consumer Directed Health Plans: HSA Simulation Model Refinement. Washington, DC: U.S. Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation.