Preferences and Selection of Health Plans by Members of an Employer Based Medical Scheme
Published: 2011-09-28
Page: 117-129
Issue: 2011 - Volume 1 [Issue 3]
Michael Mncedisi Willie *
Research and Monitoring, Council for Medical Schemes, Private Bag X34, Hatfield 0028, South Africa
*Author to whom correspondence should be addressed.
Abstract
Aims: The aim of the current study was to explore employee preferences for health plans offered by members of an employer based medical scheme.
Study design: The study was a cross section survey on a restricted scheme or an employer based medical scheme. Multinomial logistic regression model were employed on the outcome variable, which was the attributes of choosing a health plan.
Results: The study revealed that affordability access to benefits, and health care needs as most prevalent attributes for choosing health plans and the response rates were 28.1 %, 22.0% and 21.2%, respectively. Multinomial logistic regression model results revealed demographic characteristics such as gender (p=0.005), age (p<0.0001), income (p=0.0129), ethnicity (p=0.0062), and health plan characteristic (p<0.001) as significant effects of choosing a health plan.
Conclusion: Comprehensive and affordable health care remains a problem for many, even in insured groups of individuals on employer sponsored health plans. Access to benefits, healthcare needs and convenient access a service provider remain second key attributes to choosing health plans.
Originality/value: The study is original research work on medical schemes members and provides insightful and meaningful results on preference by purchasers of private health insurance plans.
Keywords: Multinomial logistic regression, health plans, contribution premiums, restricted schemes, open schemes, adverse selection