Self-Reported Behavior and Attitudes of Enrollees in Capitated and Fee-for-Service Dental Benefit Plans
RAND CORP SANTA MONICA CA
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The specific purpose of the study was to examine the impact of differences in type of dental plan, premiums paid to dental plans, patient out-of-pocket costs, and the dental insurance market on patient behavior. In this study, patient behavior was measured by use of dental care, experience with dental plan, satisfaction with plan, satisfaction with dentist, and perceived oral health status. Four dental markets were selected based on the level of Health Maintenance Organization HMO managed care penetration. These markets were California 19.8 percent of the population is in a dental HMO, New Jersey 7.3 percent, Michigan 4.6 percent, and North Carolina 0.07 percent. Eight Fortune 500 companies whose operations included at least one of the four markets agreed to participate. Participants were randomly selected from eligibility lists, and a telephone interview that collected data on their experience with their plan during 1997 was conducted. The sample consisted of 2,340 respondents of whom 42.3 percent were enrolled in capitation plans CAP and 57.7 percent were enrolled in fee-for-service plans FFS. The plan premiums ranged from 22.40 to 61.75 per month. Data analysis included both bivariate and multivariate analyses. For both sets of analyses, Bonferroni adjustments were used. Forty-six bivariate comparisons were made in this report. Hence, the significance level for bivariate analysis was set at .001 .0546. In multivariate analysis, on the other hand, where we examined the effects of 19 variables on five dependent variables, using Bonferroni adjustment the significance level was set a p.0026 .0519.
- Economics and Cost Analysis
- Personnel Management and Labor Relations
- Medicine and Medical Research