Employee Health Insurance Plans

Employee Health Insurance PlansPart IConsider the four health plans below with an eye to choosing one to offer to the company’s employees. Assume that the health plans and their annual per employeepremiums are as follows:Health Plan Premium, Individual Premium, FamilyAetna Health $4,555 $11,428MetroPlus $4,267 $10,540Empire $4,217 $10,767Oxford $6,029 $13,417The employer will pay 80% of the premium for individual coverage, and the employee will pay the remaining 20% as well as the entire additional premium for familycoverage. (The premiums listed above, while realistic in magnitude, are hypothetical and computed solely for the purpose of this project.) All of the plans are managedcare plans. Assume that the benefit package is the same across all plans, so there is no difference between them in what services are covered.In addition to the above data, click here to view and investigate the Online Report on Quality Performance Results in New York State, the latest report card issued bythe New York State Department of Health, 2013, and incorporate the information into your evaluation.You can view the various categories of measures on which health plans are rated (e.g., Access to Care, Adult Living with Illness, etc.). Click each link for a summarychart that presents the performance (usually as a percentage score) of each plan in the group on the relevant measures and how each plan compares to regional andstatewide scores.Submit a 2-page analysis in a Microsoft Word document that outlines the plan you selected and why. Generally, you would select the plan with the highest score, but ifyou chose a plan with a lower score, explain why. Include the following elements in your analysis:• Explain which factors (e.g., price and/or performance measures) were most important to your choice of plan and how you derived the weights for each factor youused.• Indicate, on a scale of 1 to 10, how comfortable or confident you are that you made the right choice, with 10 being most confident.Part IIYou need to use the multiattribute utility (MAU) technique to respond to the following questions. Although the technique can be performed with pencil and paper, it isrecommended you use a Microsoft Excel to do the various calculations involved.Click the following links to access the information on using the MAU technique:• MAU Model• MAU Example• Compare your level of confidence at the time you completed Part I to your confidence level for Part II, when you used this decision aid.• Was it helpful? What were its advantages and disadvantages?Did it make the decision harder to make or easier to justify?Support your responses with examples.


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