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Consumer Engagement with Transparency Efforts Price Transparency

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Consumer Engagement with Transparency Efforts Price Transparency

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									Consumer Engagement with
Transparency Efforts
Maribeth Shannon
California HealthCare Foundation


Federal Trade Commission – April 24, 2008
CALIFORNIA HEALTHCARE FOUNDATION
         Internet access varies widely across different groups in
                                                       California.



                                     % Access to Internet

                                                                                79%

                               68%                                                         69%
            66%                            64%
 61%
                      57%

                                                                    45%
                                                      35%                                             37%




 Total     Males     Females   18-39       40-64       65+        Less than   More than   Insured   Uninsured
Sample                                                              $50k        $50k
                                                                                            Insurance
            Gender              Age                                  Income
                                                                                            Status


                               CALIFORNIA HEALTHCARE FOUNDATION                                         3
      Internet access varies widely across different groups in
                                        California, continued.

                    % Use computer to access Internet

                                                            90%
                                             84%
                                76%                                                                    74%

   61%
                                                                                         58%


                 39%
                                                                        34%




Total Sample   HS or Less   Some college    College      Grad School   Fair/poor         Good      Excellent/very
                                                                                                       good

                            Education                                              Health Status




                                  CALIFORNIA HEALTHCARE FOUNDATION                                       4
Overall, more Californians are using the Internet for
               health care information than in 2004

      % of internet users who use it sometimes/often to…




                 CALIFORNIA HEALTHCARE FOUNDATION          5
          Californians today are more likely to see and use
    ratings of physicians than in 2004, but the percentages
                                         remain quite small.
                       Seen information          Considered a change      Actually
                       that rates...             based on these ratings   made a change



Hospitals      2004    23%
                        23%                              4%
                                                          4%              1%
                                                                           1%
Hospitals
               2007    23%                               2%               1%
                        23%                               2%               1%


Health plans
Health plans   2004     27%
                         27%                             5%               1%
                                                                           1%
                                                          5%

               2007     26%
                         26%                             4%
                                                          4%              1%
                                                                           1%


Physicians
Physicians     2004     14%
                         14%                             2%
                                                          2%              1%
                                                                           1%

               2007
                        22%
                         22%                             5%
                                                          5%              2%
                                                                           2%


                      CALIFORNIA HEALTHCARE FOUNDATION                               6
          Rates of information use are no greater among those
           who have health care needs than in the general CA
                                                       public.
                            Seen information          Considered a change      Actually
                            that rates...             based on these ratings   made a change


                    2004   23%                                4%               1%
Hospitals
Hospitals                   23%                                4%               1%

  Among Those       2007
                           30%
                            30%                               4%
                                                               4%              1%
                                                                                1%
  Hospitalized in
  last 2 years:

Health plans
Health plans        2004     27%
                              27%                             5%               1%
                                                                                1%
                                                               5%
Among Those In
fair/poor health:   2007     22%
                              22%                             4%
                                                               4%              2%
                                                                                2%


Physicians
Physicians
                    2004     14%
                              14%                             2%
                                                               2%              1%
                                                                                1%
Among Those In      2007
fair/poor health:            25%
                              25%                             7%
                                                               7%              2%
                                                                                2%

                           CALIFORNIA HEALTHCARE FOUNDATION                               7
                   Price transparency issues…

Are consumers willing to pay more for higher
quality?
Is transparency an effective tool for lowering prices
in healthcare?
How can we best serve consumer interest?




               CALIFORNIA HEALTHCARE FOUNDATION
           Are consumers willing to pay more for higher
                                               quality?




Source: Thomson Healthcare, Consumer Trends 2008




                                    CALIFORNIA HEALTHCARE FOUNDATION
Lessons from self-pay markets




CALIFORNIA HEALTHCARE FOUNDATION
Ha T. Tu and Jessica H. May,
Self-Pay Markets In Health Care: Consumer Nirvana Or Caveat Emptor?,
Health Affairs, Vol 26, Issue 2, w217-226w



                                CALIFORNIA HEALTHCARE FOUNDATION
“Public is not well served by hasty,
perfunctory gestures at
transparency”




          CALIFORNIA HEALTHCARE FOUNDATION
CALIFORNIA HEALTHCARE FOUNDATION   13
CALIFORNIA HEALTHCARE FOUNDATION   14
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                   CALIFORNIA HEALTHCARE FOUNDATION   15
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CALIFORNIA HEALTHCARE FOUNDATION                               16
       www.chcf.org


www.calhospitalcompare.org


     www.calnhs.org




      CALIFORNIA HEALTHCARE FOUNDATION

								
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