NAIC Summary of Health Plan Coverage Ready for Testing
The industry has raised a red flag about the coverage facts labels, which illustrate sample coverage for threes medical scenarios, including treating breast cancer. In a letter to the subcommittee on insurer recommended that the less complex medical conditions should be used in the examples. That’s a good point and certainly reminds everyone of the danger of oversimplification.
“It is a complicated balancing act,” says Susan Pisano, a spokesperson for AHIP. She points to studies that show that consumers are happy with summaries as long as additional information is available elsewhere, like on a web site.
With healthcare reform expected to being millions of new insurance shoppers into the market, the time is definitely right for a summary of benefits and coverage that can be easily presented and understood. But the coverage facts label may need to be tweaked to make sure that in the push to make health benefits understandable, we don’t trip and make the information meaningless.
Margaret Dick Tocknell is a reporter/editor with HealthLeaders Media.
- Two-Midnight Rule Must be Fixed or Replaced, Say Providers
- Don't Underestimate Emotional Intelligence
- The Secret to Physician Engagement? It's Not Better Pay
- Care Coordination Tough to Define, Measure
- Yale New Haven Health Partners with Tenet Healthcare in CT
- Physicians Take SGR Repeal Message to Washington
- Size Matters in Antibiotic Overuse
- CDC Warns of Antibiotic Overuse in Hospitals
- 4 Reasons PCMH Principles Aren't Going Away
- SCOTUS Review of NC Board Case 'A Very Big Deal' to Providers