5. Public Reporting as a Quality Improvement Strategy

Author
Year
1. Study
Purpose
2. Geographic
Location
3. Study
Design/
Type
4. Sample/
Population
Procedure 5. Outcomes
enrollment from
3 largest plans
as well as from
plan that was
discontinued
and plans with
lowest ratings
64% response
rate
M-9
6. Name
of Public
Report 7. Results 8. Summary
All or most of the
information needed to
evaluate
plans available 65 53 65
< .001
Easy or very easy to
compare plans 55 42 48
< .001
Very or somewhat
helpful to learning about
differences
in quality 75 71 70 .25
Very or somewhat
helpful to deciding
whether to stay with
a plan or switch 76 NA
75 > .05
Trust the ratings a lot 43
36 38 .08
Ratings reflect very well
or fairly well the
experiences of
current health plan
members 90 80 85 <
.001
Ratings tell a lot about
the care received from a
plan 31 22 33 < .01
Ratings are about the
same as own opinion
about
quality of plans 59 42 46
< .001
Largest Plans N = 739;
1997 Not Available in
1998 N = 444; 1997 Plan
Rated One Star N = 308
Most Useful Source
CAHPS printed report
30% 25% 29%
CAHPS Internet report 1
1 2
Benefits fair 15 16 16
confident they
picked the right
plan for their
situation. Very
few accessed the
web page.
9. Funding of
Research