Can consumers make affordable care affordable? The value of choice architecture.

Tens of millions of people are currently choosing health coverage on a state or federal health insurance exchange as part of the Patient Protection and Affordable Care Act. We examine how well people make these choices, how well they think they do, and what can be done to improve these choices. We c...

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Autores principales:	Eric J Johnson, Ran Hassin, Tom Baker, Allison T Bajger, Galen Treuer
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2013
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/8cde2b0d64d04962ab00cf125b6073e1
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spelling	oai:doaj.org-article:8cde2b0d64d04962ab00cf125b6073e12021-11-18T08:41:29ZCan consumers make affordable care affordable? The value of choice architecture.1932-620310.1371/journal.pone.0081521https://doaj.org/article/8cde2b0d64d04962ab00cf125b6073e12013-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24367484/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203Tens of millions of people are currently choosing health coverage on a state or federal health insurance exchange as part of the Patient Protection and Affordable Care Act. We examine how well people make these choices, how well they think they do, and what can be done to improve these choices. We conducted 6 experiments asking people to choose the most cost-effective policy using websites modeled on current exchanges. Our results suggest there is significant room for improvement. Without interventions, respondents perform at near chance levels and show a significant bias, overweighting out-of-pocket expenses and deductibles. Financial incentives do not improve performance, and decision-makers do not realize that they are performing poorly. However, performance can be improved quite markedly by providing calculation aids, and by choosing a "smart" default. Implementing these psychologically based principles could save purchasers of policies and taxpayers approximately 10 billion dollars every year.Eric J JohnsonRan HassinTom BakerAllison T BajgerGalen TreuerPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 8, Iss 12, p e81521 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Eric J Johnson Ran Hassin Tom Baker Allison T Bajger Galen Treuer Can consumers make affordable care affordable? The value of choice architecture.
description	Tens of millions of people are currently choosing health coverage on a state or federal health insurance exchange as part of the Patient Protection and Affordable Care Act. We examine how well people make these choices, how well they think they do, and what can be done to improve these choices. We conducted 6 experiments asking people to choose the most cost-effective policy using websites modeled on current exchanges. Our results suggest there is significant room for improvement. Without interventions, respondents perform at near chance levels and show a significant bias, overweighting out-of-pocket expenses and deductibles. Financial incentives do not improve performance, and decision-makers do not realize that they are performing poorly. However, performance can be improved quite markedly by providing calculation aids, and by choosing a "smart" default. Implementing these psychologically based principles could save purchasers of policies and taxpayers approximately 10 billion dollars every year.
format	article
author	Eric J Johnson Ran Hassin Tom Baker Allison T Bajger Galen Treuer
author_facet	Eric J Johnson Ran Hassin Tom Baker Allison T Bajger Galen Treuer
author_sort	Eric J Johnson
title	Can consumers make affordable care affordable? The value of choice architecture.
title_short	Can consumers make affordable care affordable? The value of choice architecture.
title_full	Can consumers make affordable care affordable? The value of choice architecture.
title_fullStr	Can consumers make affordable care affordable? The value of choice architecture.
title_full_unstemmed	Can consumers make affordable care affordable? The value of choice architecture.
title_sort	can consumers make affordable care affordable? the value of choice architecture.
publisher	Public Library of Science (PLoS)
publishDate	2013
url	https://doaj.org/article/8cde2b0d64d04962ab00cf125b6073e1
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Can consumers make affordable care affordable? The value of choice architecture.

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