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Public sector employer evaluation of health plans in the United States.
Int J Health Plann Manage. 1998 Oct-Dec; 13(4):259-75.IJ

Abstract

Recently, public employers have experimented with different 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 offered only one type of plan showed highest satisfaction levels with HMOs, followed by PPOs and indemnity plans. In jurisdictions that offered 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 offered 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 significant difference in satisfaction levels between the two arrangements.

Authors+Show Affiliations

Perry RW
School of Public Affairs, Arizona State University, Tempe 85287, USA.
Cayer NJ
No affiliation info available

MeSH

Consumer BehaviorEvaluation Studies as TopicFee-for-Service PlansGovernment AgenciesHealth Benefit Plans, EmployeeLocal GovernmentManaged Care ProgramsPublic SectorUnited States

Pub Type(s)

Journal Article

Language

eng

PubMed ID

10346049

Citation

Perry, R W., and N J. Cayer. "Public Sector Employer Evaluation of Health Plans in the United States." The International Journal of Health Planning and Management, vol. 13, no. 4, 1998, pp. 259-75.
Perry RW, Cayer NJ. Public sector employer evaluation of health plans in the United States. Int J Health Plann Manage. 1998;13(4):259-75.
Perry, R. W., & Cayer, N. J. (1998). Public sector employer evaluation of health plans in the United States. The International Journal of Health Planning and Management, 13(4), 259-75.
Perry RW, Cayer NJ. Public Sector Employer Evaluation of Health Plans in the United States. Int J Health Plann Manage. 1998 Oct-Dec;13(4):259-75. PubMed PMID: 10346049.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Public sector employer evaluation of health plans in the United States. AU - Perry,R W, AU - Cayer,N J, PY - 1999/5/27/pubmed PY - 1999/5/27/medline PY - 1999/5/27/entrez SP - 259 EP - 75 JF - The International journal of health planning and management JO - Int J Health Plann Manage VL - 13 IS - 4 N2 - Recently, public employers have experimented with different 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 offered only one type of plan showed highest satisfaction levels with HMOs, followed by PPOs and indemnity plans. In jurisdictions that offered 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 offered 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 significant difference in satisfaction levels between the two arrangements. SN - 0749-6753 UR - https://www.unboundmedicine.com/medline/citation/10346049/Public_sector_employer_evaluation_of_health_plans_in_the_United_States_ L2 - https://doi.org/10.1002/(SICI)1099-1751(199810/12)13:4<259::AID-HPM522>3.0.CO;2-W DB - PRIME DP - Unbound Medicine ER -