The Power of Health Insurance On the Lives of The effectiveness of the Vermont Health Access Plan Catherine Hamilton, Ph.D. New York University Blue Cross and Blue Shield of Vermont - PowerPoint PPT Presentation

About This Presentation
Title:

The Power of Health Insurance On the Lives of The effectiveness of the Vermont Health Access Plan Catherine Hamilton, Ph.D. New York University Blue Cross and Blue Shield of Vermont

Description:

Insured. Access to Needed Care. Preventive Care Access. Access & Use. Members: ... Insured. Average change is -22% (.000) Health Status. Reported a health ... – PowerPoint PPT presentation

Number of Views:912
Avg rating:3.0/5.0
Slides: 15
Provided by: hami9
Category:

less

Transcript and Presenter's Notes

Title: The Power of Health Insurance On the Lives of The effectiveness of the Vermont Health Access Plan Catherine Hamilton, Ph.D. New York University Blue Cross and Blue Shield of Vermont


1
The Power of Health Insurance On the Lives of
The effectiveness of the Vermont Health Access
PlanCatherine Hamilton, Ph.D.New York
UniversityBlue Cross and Blue Shield of Vermont
2
Overview
  • Background
  • Research Design
  • Findings
  • Implications

3
UninsuredVermont vs. US
20
United States
15
10
Vermont
5
0
1990 1998
4
Research Model
Evaluation of Costs/Benefits
Individual Factors
Enrollment Decision
(-) Access Barriers
() Perceived Access
Year before VHAP enrollment UNINSURED
Year after VHAP enrollment INSURED
()
(/-) Utilization
() Health Outcomes
(-)
() Satisfaction
5
Selection Bias
19
11
9
5
Disabled
Hospitalized
Non-enrollees
Enrollees
6
Access Barriers
Uninsured
Insured
15
3
Cost
Knowledge
7
Access to Needed Care
8
Preventive Care Access
9
Access Use
  • Members
  • unable to find doctors accepting insurance less
    likely to seek preventive care
  • with long appointment waits and unmet health care
    needs twice as likely to end up in the hospital
  • with unmet needs 1.4 times as likely to visit the
    ER

10
Hospitalization ER DropDentist and Doctors
Rise
(-14)
(12)
(-16)
(30)
11
Increase in mental health visits (for those with
at least one visit)
Average change is 1.44 (.016)
12
Health StatusReported a health problem
Uninsured
Insured
Average change is -22 (.000)
13
Lessons
  • Initiating insurance in a rural setting improved
    psychological physical well-being.
  • Could be cheaper, too!
  • Program successfully targeted uninsured with the
    greatest needs.
  • Benefit design, enrollment process influence
    selection
  • Inverse relationship between perceived access and
    hospital use.
  • Mental health status of males improved
    significantly.

14
Final ThoughtsVermonts Opportunities
  • Sustaining the financing of the program over time
    and reaching the final 10 uninsured
  • Rethinking
  • how to pay for and manage the care of acutely ill
    members
  • how to promote access within the individual
    market
  • how to finance health care for the uninsured
Write a Comment
User Comments (0)
About PowerShow.com