On March 4 and 5, 1998, the Institute of Medicine (IOM) Committee on Choice and Managed Care held a 2-day workshop entitled Developing the Information Infrastructure for Medicare Beneficiaries. This workshop was a follow-up to the IOM report entitled Improving the Medicare Market: Adding Choice and Protections. The workshop focused on the Medicare provisions in the Balanced Budget Act of 1997, which mandate that the Health Care Financing Administration (HCFA) develop a "nationally coordinated education and publicity campaign" in 1998 and move Medicare beneficiaries to an open-season enrollment process by the year 2002.
- Developing the Information Infrastructure for Medicare Beneficiaries
- Copyright
- Acknowledgments
- Contents
- 1 Introduction
- POLICY CONTEXT FOR THE WORKSHOP
- 2 HCFA's Plan of Action
- WHAT HCFA WILL DO IN 1998
- BUILDING A KNOWLEDGE BASE WITH BETTER INFORMATION DISSEMINATION
- RELYING ON THE COMMUNITY FOR ASSISTANCE
- 3 HCFA as a Successful Consumer Service Agency
- THE LESSONS OF MARKET EXPERIENCE
- CONSUMER ASSISTANCE ROLES
- Role of HCFA
- Roles of Other Participants
- Media
- Physicians
- Employers
- Insurance Commissioners and Health Departments
- Accreditation Organizations
- Patient Advocacy and Counseling Agencies
- Disease- and Disability-Oriented Groups
- Other Special Needs Populations
- IMPLEMENTATION
- 4 How to Reach Beneficiaries: Lessons from Private Industry
- HOW TO TARGET THE MEDICARE POPULATION
- Medicare Has a Heterogeneous Population
- Education and Marketing Should Be Done Together
- PARTNERING WITH EXPERT OUTSIDE GROUPS AND RESOURCES TO GET THE JOB DONE
- Relying on Traditional Medicare
- Cautions Concerning Private Plan Marketing
- 5 Role of Third Parties in the Information Infrastructure
- HOW CONSUMERS USE INFORMATION FOR DECISION MAKING
- What Affects the Level of Knowledge?
- Supporting the Decision-Making Process
- A Proposed Important First Step
- THE ROLE OF THE HICAP
- How to Best Provide Beneficiaries with This Information
- Liability Issues
- THE ROLE OF PROVIDERS: AN ISSUE OF TRUST
- THE FUTURE INFORMATION DISSEMINATION INFRASTRUCTURE
- 6 Best Practices and Models for an Open-Season Enrollment Process
- STATE OF NORTH CAROLINA TEACHERS' AND STATE EMPLOYEES' COMPREHENSIVE MAJOR MEDICAL PLAN
- FEDERAL EMPLOYEES' HEALTH BENEFITS PROGRAM
- THE EFFECTIVE USE OF TECHNOLOGY: THE GENERAL ELECTRIC ANSWER CENTER AS A CASE STUDY
- Customer Requirements
- Call Center Requirements
- People
- Technology
- Inquiry Management Process
- 7 Special Needs Populations: Helping Those Most in Need of Assistance
- CHRONIC ILLNESS IN MANAGED CARE
- CHALLENGES FOR THE IMMIGRANT POPULATION
- Reaching the Immigrant Population
- Alternative Methods of Reaching the Immigrant Populations
- HOW TO HELP COGNITIVELY IMPAIRED INDIVIDUALS MAKE INFORMED DECISIONS
- Decision Making by Cognitively Impaired Individuals
- 8 Implementation Issues
- ACCOUNTABILITY
- IMPLEMENTATION LESSONS FROM TENNCARE
- USE OF AN ADVISORY COUNCIL
- POLITICAL CONSIDERATIONS
- References
- A Workshop Agenda
- B Workshop Participants
- COMMITTEE MEMBERS
- SPEAKERS
- REGISTERED GUESTS
- IOM STAFF
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