Testing CAHPS Health Plan Performance Reports in the Florida Medicaid Program

by Farley, Donna O.; Short, Pamela Farley; Kanouse, David E.; Schoeff, Diane; Brown, Julie A.

• ISBN13: 9780833029041
• ISBN10: 0833029045
• Edition: 1st
• Format: Paperback
• Copyright: 2000-08-29
• Publisher: RAND CORPORATION

Summary

The Agency for Health Care Policy and Research, now the Agency for Healthcare Research and Quality (AHRQ), initiated the Consumer Assessment of Health Plans Study (CAHPSr) project in 1995 to develop and test methods to provide consumers with comparative information on performance of health plans as reported by current health plan enrollees. In collaboration with the Florida Agency for Health Care Administration (AHCA), RAND conducted a CAHPS demonstration with the Florida Medicaid program to test applications of plan performance reports in the Medicaid sector. Both paper and computer-based report formats were designed and tested in field applications in Volusia County, Florida. Evidence was found that failures in any of four dimension of a consumer information strategy can impede consumer use of the information.

Table of Contents

Preface	p. iii
Summary	p. ix
Acknowledgments	p. xv
The Florida Medicaid CAHPS Demonstration	p. 1
The Consumer Assessment of Health Plans Study	p. 1
Conceptual Framework	p. 2
Overview of the Demonstration	p. 4
Choice of the Demonstration Site	p. 5
Organization of this Report	p. 7
Report Designs and Field Applications	p. 9
Preparation of the Paper Report	p. 9
Design and Application of the Decision Helper	p. 10
Evaluation Methods and Data	p. 15
Focus Group Evaluation of the Paper Reports	p. 15
Evaluation of the Decision Helper	p. 16
Process Evaluation Site Visit and Interviews	p. 19
Evaluation Findings for the Paper Report	p. 21
Focus Group Results	p. 21
Feedback from Site Visit Interviews	p. 25
Findings from the Decision Helper Field Test	p. 27
Results of the Daytona Beach Field Test	p. 27
Issues and Policy Implications	p. 43
Overall Implementation Issues	p. 43
Assessment of the Paper Report	p. 44
Assessment of the Decision Helper	p. 45
Discussion	p. 47
References	p. 49
Performance Dimensions for Florida Medicaid Plans
Florida Medicaid Booklet
Protocol Materials for Focus Groups with New Enrollees
Alternative Display Formats for Plan Comparisons Tested in Florida Medicaid Focus Groups
Data Collection Form for Observations of Decision Helper Usage in Daytona Beach
Exit Interview Questionnaires for the Decision Helper Field Test in Daytona Beach
Interview Guide for the Process Evaluation
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