employee health insurance plans 15819283 2

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 access the latest report for ‘Health Plan Comparison in New York State’. Review the online report and incorporate relevant 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.

Submission Details

Name your document SU_HCM3002_W4_A2_LastName_FirstInitial.doc.

Submit your document to the W4 Assignment 2 Dropbox by Tuesday, April 25, 2017.

Assignment 2 Grading Criteria
Maximum Points
Chose a health insurance plan to offer employees.
10
Explained which factors were most important to the choice of plan and how the weights for each factor used were derived.
10
Indicated the comfort or confidence of choice and provided appropriate reasoning.
10
Compared level of confidence for choosing a health insurance plan versus using the MAU technique.
10
Discussed the advantages and disadvantages of the MAU technique.
5
Used correct spelling, grammar, and professional vocabulary. Cited all sources using APA format.
5
Total:
50

 

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