Mary C. Politi|Marie D. Kuzemchak|Jingxia Liu|Abigail Barker|Ellen Peters|Peter A. Ubel|Kimberly A. Kaphingst|Timothy D. McBride|Matthew W. Kreuter|Enbal Shacham|Susan Philpott
Show Me My Health Plans
Washington University in St. Louis|The Ohio State University|Sanford Health|Duke University|University of Utah|Washington University in St. Louis|The Ohio State University|Sanford Health|Duke University|University of Utah|The Ohio State University|Washington University in St. Louis|Sanford Health|Duke University|University of Utah|Washington University in St. Louis|The Ohio State University|Sanford Health|Duke University|University of Utah|Washington University in St. Louis|The Ohio State University|Sanford Health|Duke University|University of Utah|Washington University in St. Louis|The Ohio State University|Sanford Health|Duke University|University of Utah|Washington University in St. Louis|The Ohio State University|Sanford Health|Duke University|University of Utah|Washington University in St. Louis|The Ohio State University|Sanford Health|Duke University|University of Utah|Washington University in St. Louis|The Ohio State University|Sanford Health|Duke University|University of Utah|Washington University in St. Louis|The Ohio State University|Sanford Health|Duke University|University of Utah|Washington University in St. Louis|The Ohio State University|Sanford Health|Duke University|University of Utah
introduction since affordable care act passed 12 million individuals enrolled health insurance marketplace without support many struggle make informed plan choice meets health financial needs methods designed evaluated decision aid show health plans smhp provides education preference assessment annual outofpocket cost calculator plan recommendations produced tailored riskadjusted algorithm incorporating age gender health status evaluated whether smhp compared healthcaregov improved health insurance decision quality match plan choice needs preferences among 328 missourians enrolling marketplace results participants used smhp higher health insurance knowledge lsmean 78 vs 62 p lt 0001 decision selfefficacy lsmean 83 vs 75 p lt 0002 confidence choice lsmean 35 vs 29 p lt 0001 improved health insurance literacy odds ratio 252 p lt 0001 compared participants using healthcaregov using smhp 103 times likely select silver goldtier plan p lt 00001 discussion smhp improve health insurance decision quality odds consumers select insurance plan coverage likely needed meet health needs study represents unique context apply principles decision support improve health insurance choices