How much choice is too much? The case of the Medicare prescription drug benefit.

Abstract:

OBJECTIVE:To study the impact of the number of choices and age on measures of performance in choosing a Medicare prescription drug plan. DATA SOURCE/STUDY SETTING:One hundred ninty-two healthy individuals age 18 and older, half age 65 or older, in Claremont, California. STUDY DESIGN:Participants were randomly assigned to 3, 10, or 20 hypothetical drug plans and asked four factual questions. Statistical models controlled for experimental group, age, gender, race, education, income, marital status, and health status. PRIMARY FINDINGS:Older age and greater number of plans were significantly associated with fewer correct answers. Although older adults were less likely to identify the plan that minimized total annual cost, they were more likely to state that they were "very confident" they chose the correct plan. CONCLUSIONS:The results raise concerns about the difficulties that older adults may have in navigating the wide range of drug plan choices available.

journal_name

Health Serv Res

journal_title

Health services research

authors

Hanoch Y,Rice T,Cummings J,Wood S

doi

10.1111/j.1475-6773.2009.00981.x

subject

Has Abstract

pub_date

2009-08-01 00:00:00

pages

1157-68

issue

4

eissn

0017-9124

issn

1475-6773

pii

HESR981

journal_volume

44

pub_type

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