CHAT Analysis

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CHAT Analysis

• Craig Knutson
• Oklahoma Insurance Department

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Choosing Healthplans All Together

• Consensus building about health coverage
  priorities with limited resources
• More than 80 sessions in 35 Oklahoma communities
• More than 700 citizens input gathered
• Cross-section of community
• Information to HCR1010 task force and SCI team

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Round 3, All Participants

• 100 of participants selected coverage in
• Hospital Care
• Primary Care
• Over 90 of participants selected coverage in
• Scans and X-rays
• Pharmacy
• Prevention

• Tests
• Specialty Care

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Round 3, All Participants

• The majority of participants selected coverage
  in
• Rehab and Services 88 of participants
• Mental-Behavior 86 of participants
• Dental/Vision 78 of participants
• Last Chance 63 of participants
• Only 19 selected coverage in Complementary
• Only 9 selected coverage in Quality of Life

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Round 3, All Participants

• The majority of participants selected coverage in
  the first benefit tier
• Except in Hospital Care and Pharmacy, where the
  majority of participants selected coverage in the
  second benefit tier
• Dental/Vision was almost equally distributed
  between the percentage who selected coverage in
  the first benefit tier (41) and coverage in the
  second benefit tier (36)

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Round 3, Uninsured v. Insured

• The percentage of participants who selected
  coverage in each category was similar for most
  categories. There were slight differences in the
  following categories
• Tests Uninsured 91 Insured 99
• Dental/Vision Uninsured 84 Insured 76
• Rehab and Services Uninsured 81 Insured 89

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Round 3, Uninsured v. Insured

• The chosen benefit tier varied between the two
  subgroups in several categories
• Co-payments Uninsured are evenly distributed
  between Tier 1 (45) and Tier 2 (44) a majority
  of insured selected Tier 1 (65)
• Premium Uninsured are relatively evenly
  distributed between Tier 1 (51) and Tier 2
  (45) a majority of insured selected Tier 1 (61)

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Round 3, Uninsured v. Insured

• The chosen benefit tier varied between the two
  subgroups in several categories
• Hospital Care A majority of uninsured selected
  Tier 1 (65) a majority of insured selected Tier
  2 (56)
• Pharmacy Slightly more than half of uninsured
  selected Tier 1 (52) a majority of insured
  selected Tier 2 (60)
• Dental/Vision Slightly more uninsured selected
  Tier 2 (46) than Tier 1 (38) slightly more
  insured selected Tier 1 (42) than Tier 2 (34)

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Round 1-4, Changes in Coverage

• Among those CHAT participants who changed
  coverage choices between Round 1 and Round 4,
  most made changes to match their groups Round 3
  coverage selection. For example, 80 of the
  changes participants made in Round 4 in
  Prevention were to match the Round 3.
• Most participants selected the same coverage in
  Round 4 as their group did in Round 3, indicating
  satisfaction with the groups choices.

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Cost Concerns
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Healthcare coverage should be like

• 52 said education a basic level is guaranteed
  to everyone, but those who can pay for more may
  do so
• 32 said fire department everyone receives the
  same level of protection regardless of job or
  income
• 16 said housing everyone has the responsibility
  to meet his or her own needs

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Healthcare coverage should be like

• Noteworthy subgroup responses
• Fire department African American, education
  level 8th grade or less, some high school, and
  income of less than 20,000, Hispanics, ages
  18-29, and non-insured were more likely to say
  fire department
• Education ages 60-64, four-year college degree,
  post-graduate degree, and income 90,000 or more
  were more likely to say education

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If I only had one more marker
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(No Transcript)
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Health Reform Initiatives in Oklahoma

• Craig Knutson
• Oklahoma Insurance Department