Designing rules to guide consumer choice of insurance plans on health exchanges

The purpose of this project is to provide the health exchanges with specifications for decision support software and the underlying research evidence to help consumers select a health plan. The complexities of insurance products, four levels of benefit design, potentially large numbers of product offerings, subsidy calculations, and differences in eligibility status within a family are among the many daunting aspects of choosing a plan in the exchanges. This project will focus on research that addresses these challenges to help people choose a health plan that meets their needs. Deliverables will be: (1) requirements for information technology vendors, essentially the business rules for the plan choice software; (2) requirements for information on health plans, including data elements that provider plans must submit; and (3) research findings to help consumers choose a plan, essentially the findings on decision supports to guide planning for information services and support for the exchanges.

Grant Details

Amount Awarded $122,541.00

Awarded on: 9/6/2011

Time frame: 10/1/2011 - 4/30/2012

Grant Number: 69399


Pacific Business Group on Health

575 Market Street, Suite 600
San Francisco, 94105-5811


Eric J. Johnson
Project Director


Ted vonGlahn
Project Director