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Understanding the 'Black Box' of Employer Decisions about Health Insurance Benefits: The Case of Depression Products
- Source :
- Risks, Volume 1, Issue 1, Pages 34-42, Risks, Vol 1, Iss 1, Pp 34-42 (2013)
- Publication Year :
- 2013
- Publisher :
- MDPI AG, 2013.
-
Abstract
- In a randomized trial of two interventions on employer health benefit decision-making, 156 employers in the evidence-based (EB) condition attended a two hour presentation reviewing scientific evidence demonstrating depression products that increase high quality treatment of depression in the workforce provide the employer a return on investment. One-hundred sixty-nine employers participating in the usual care (UC) condition attended a similar length presentation reviewing scientific evidence supporting healthcare effectiveness data and information set (HEDIS) monitoring. This study described the decision-making process in 264 (81.2%) employers completing 12 month follow-up. The EB intervention did not increase the proportion of employers who discussed depression products with others in the company (29.2% versus 32.1%, p &gt<br />0.10), but it did significantly influence the content of the discussions that occurred. Discussion in EB companies promoted the capacity of a depression product to realize a return on investment (18.4% versus 4.7%, p = 0.05) and to improve productivity (47.4% versus 25.6%, p = 0.06) more often than discussions in UC companies. Almost half of EB and UC employers reported that return on investment has a large impact on health benefit decision-making. These results demonstrate the difficulty of influencing employer decisions about health benefits using group presentations.
- Subjects :
- medicine.medical_specialty
employers
productivity
return on investment
Strategy and Management
health benefits
insurance
depression
absenteeism
collaborative care
Economics, Econometrics and Finance (miscellaneous)
Psychological intervention
Collaborative Care
jel:C
lcsh:HG8011-9999
Scientific evidence
law.invention
lcsh:Insurance
jel:M4
jel:K2
jel:G0
Randomized controlled trial
jel:G1
law
jel:G2
Accounting
Return on investment
jel:G3
ddc:330
medicine
Actuarial science
Healthcare Effectiveness Data and Information Set
jel:M2
Family medicine
Workforce
Absenteeism
Business
Subjects
Details
- ISSN :
- 22279091
- Volume :
- 1
- Database :
- OpenAIRE
- Journal :
- Risks
- Accession number :
- edsair.doi.dedup.....80f31a810f7042485fe18db358ada5ef