Cover image for Exploration of selection bias issues for the DoD Federal Employees Health Benefits Program demonstration
Title:
Exploration of selection bias issues for the DoD Federal Employees Health Benefits Program demonstration
Author:
Farley, Donna.
Personal Author:
Publication Information:
Santa Monica, CA : Rand, [2002]

©2002
Physical Description:
xiv, 195 pages ; 28 cm
General Note:
"MR-1482."
Language:
English
Added Author:
Added Corporate Author:
ISBN:
9780833031211
Format :
Book

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RA412.2 .F374 2002 Adult Non-Fiction Central Closed Stacks-Non circulating
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Summary

Summary

Congress established a demonstration that allows beneficiaries of the Department of Defense (DoD) health benefits program, who also are Medicare-eligible, to enroll in the Federal Employees Health Benefits Program (FEHBP). The three-year demonstration began January 1, 2000. The DoD Office of Health Affairs is evaluating the costs and other effects of the demonstration. One source of cost effects may be risk selection, where beneficiaries who choose the FEHBP option are more or less costly than those who do not enroll. Health Affairs asked RAND to apply current theory and knowledge to identify how selection bias might occur as Medicare-eligible DoD beneficiaries enrolled in FEHBP plans under this demonstration, and to suggest an analytic approach to estimate the effects of selection on DoD costs. This report presents the results of that analysis. It describes the supplemental health benefits options available to Medicare beneficiaries in the demonstration sites, reviews the theoretical literature on risk selection, and develops hypotheses regarding risk selection that can be tested in the evaluation of the demonstration. It also suggests analytic methods for measuring selection and estimating the extent to which it may occur for enrollments in the FEHBP demonstration. The methods are designed to estimate (1) the extent to which adverse selection occurs in Medicare supplemental insurance enrollments for the DoD FEHBP demonstration, and (2) how much effect selection has on DoD health care costs for Medicare-eligible beneficiaries.


Excerpts

Excerpts

Presents the analysis of RAND to apply current theory and knowledge to identify how selection bias might occur when Medicare-eligible Department of Defense beneficiaries enrolled in the Federal Employees Health Benefits Program plans under a demonstration and suggests an analytic approach to estimate the effects of selection on DoD costs. Excerpted from Exploration of Selection Bias Issues for the Department of Defense Federal Employees Health Benefits Program Demonstation by Donna Farley, Barbara Wynn All rights reserved by the original copyright owners. Excerpts are provided for display purposes only and may not be reproduced, reprinted or distributed without the written permission of the publisher.