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The Value Employees Place on Health Insurance Plans: A Discrete-Choice Experiment

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  • Stephen Poteet

    (University of South Florida)

  • Benjamin M. Craig

    (University of South Florida)

Abstract

Background The federally-facilitated Health Insurance Marketplace—also known as the Health Insurance Exchange—was designed as a tool to help people purchase insurance plans, yet many Americans remain uninsured, partially due to rising premiums. One possible strategy to stabilize its premiums is to encourage healthier people to purchase their plans through the Marketplace instead of through their employers. Objective This study examined the values that single adults with employer-based coverage place on health insurance plan attributes using a discrete-choice experiment (DCE). Methods As part of an online survey, each respondent completed 28 paired comparisons trading off four attributes: source of coverage, plan type, monthly out-of-pocket premium, and quality of coverage. Results Based on our results (N = 2207), single employees slightly preferred their employer over the Marketplace as a source of coverage (0.726 odds ratio; p value

Suggested Citation

  • Stephen Poteet & Benjamin M. Craig, 2019. "The Value Employees Place on Health Insurance Plans: A Discrete-Choice Experiment," Applied Health Economics and Health Policy, Springer, vol. 17(6), pages 817-825, December.
    • Handle: RePEc:spr:aphecp:v:17:y:2019:i:6:d:10.1007_s40258-019-00507-1
    DOI: 10.1007/s40258-019-00507-1
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    References listed on IDEAS

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    1. van den Berg, Bernard & Van Dommelen, Paula & Stam, Piet & Laske-Aldershof, Trea & Buchmueller, Tom & Schut, Frederik T., 2008. "Preferences and choices for care and health insurance," Social Science & Medicine, Elsevier, vol. 66(12), pages 2448-2459, June.
    2. Louviere, Jordan J. & Lancsar, Emily, 2009. "Choice experiments in health: the good, the bad, the ugly and toward a brighter future," Health Economics, Policy and Law, Cambridge University Press, vol. 4(4), pages 527-546, October.
    3. Drummond, Michael F. & Sculpher, Mark J. & Claxton, Karl & Stoddart, Greg L. & Torrance, George W., 2015. "Methods for the Economic Evaluation of Health Care Programmes," OUP Catalogue, Oxford University Press, edition 4, number 9780199665884.
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