Satisfaction With Health Coverage and Care: Findings from the 2013 EBRI/Greenwald & Associates Consumer Engagement in Health Care Survey

28 Pages Posted: 17 Aug 2014

See all articles by Paul Fronstin

Paul Fronstin

Employee Benefit Research Institute (EBRI)

Date Written: August 2014

Abstract

This paper examines satisfaction with various aspects of health care by type of health plan. It examines satisfaction among three groups of health-plan enrollees: those with a consumer-driven health plan (CDHP), those with a high-deductible health plan (HDHP), and those with traditional coverage. The findings presented in this paper are derived from the 2013 EBRI/Greenwald & Associates Consumer Engagement in Health Care Survey (CEHCS), an online survey that examines issues surrounding consumer-directed health care, including the cost of insurance, the cost of care, satisfaction with health care, satisfaction with health care plans, reasons for choosing a plan, and sources of health information. This paper also presents trends in satisfaction using findings from the 2005-2007 EBRI/Commonwealth Fund Consumerism in Health Care surveys, and the 2008-2012 CEHCS. The overall satisfaction rate among CDHP enrollees increased in most years of the EBRI/Greenwald & Associates CEHCS, while it decreased in most years among traditional enrollees. Differences in out-of-pocket costs may explain some of the differences in overall satisfaction rates. In 2013, 44 percent of traditional-plan participants were extremely or very satisfied with out-of-pocket costs (for health care services other than for prescription drugs), while 20 percent of HDHP enrollees and 31 percent of CDHP participants were extremely or very satisfied. Satisfaction has been trending upward among CDHP enrollees. CDHP and HDHP enrollees were less likely than those in a traditional plan both to recommend their health plan to friends or co-workers and to stay with their current health plan if they had the opportunity to switch plans. The percentage of HDHP and CDHP enrollees reporting that they would be extremely or very likely to recommend their plan to friends or co-workers has been trending upward, while it has been flat among individuals with traditional coverage.

The PDF for the above title, published in the August 2014 issue of EBRI Notes, also contains the full text of another August 2014 EBRI Notes article abstracted on SSRN: “Contributory ‘Negligence?’ The Impact of Future Contributions to Defined Contribution Plans on Retirement Income Adequacy for Gen Xers.”

Keywords: Consumer-driven health plans (CDHPs), Employment-based benefits, Health care attitudes and opinions, Health insurance attitudes and opinions, Health insurance coverage, High-deductible health plans (HDHPs)

JEL Classification: I1, I11, J3, J32

Suggested Citation

Fronstin, Paul, Satisfaction With Health Coverage and Care: Findings from the 2013 EBRI/Greenwald & Associates Consumer Engagement in Health Care Survey (August 2014). EBRI Notes, Vol. 35, No. 8, August 2014, Available at SSRN: https://ssrn.com/abstract=2481098

Paul Fronstin (Contact Author)

Employee Benefit Research Institute (EBRI) ( email )

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