Question

Employee Health Insurance Plans

Part I

Consider 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 employee premiums are as follows:

Health Plan	Premium, Individual	Premium, Family
Aetna Health	$4,555	$11,428
MetroPlus	$4,267	$10,540
Empire	$4,217	$10,767
Oxford	$6,029	$13,417

The 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 family coverage. (The premiums listed above, while realistic in magnitude, are hypothetical and computed solely for the purpose of this project.) All of the plans are managed care 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 by the 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 summary chart 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 and statewide 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 if you 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 you used.

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 II

You 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 is recommended 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.

Cite any sources in APA format.

Answer 1

I have selected Aetna Health plan   because for its performance considered to be good and price is not high. If employees choose family premium considered to be more worth. According to Healthcare Effectiveness Data and Information Set data makes me to select the Aetna Health

Scale is 9 points for my confidence.

This health plan covers young ones to old age.

For Children: Aetna providing care for Immunization problem,Respiratory problem, giving Counseling about nutrients, weight check up etc.

For Adults: Aetna providing tratement for Alcohol and drug addicted,Cardiovascular , diabetics, eye checkup and additionally take care of behavior health for its members.

For Women: Aetna providing tratement for Breast cancer and other types of cancer, maternity care.

Measure have taken to preventing the disease and screening the disease.

Atena providing the plan type of HMO which means give the importance to primary care.

part 2 data selected from New york health care report

Medicaid Health Plan has provided by MetroPlus providers hence its not available in HMO analysis

while using part 1, part 2 is more easy at the same time decision making never makes me hard because which provider i have choosen it is best for giving HMO care to its members. It is considered to be a important care. HMO means Health maintenance organization.