Tabla de Contenidos:
  • 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 DepartmentsAccreditation 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 InfrastructureHOW 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
  • Conditioning the Market
  • 6 Best Practices and Models for an Open-Season Enrollment Process
  • STATE OF NORTH CAROLINA TEACHERS' AND STATE EMPLOYEES' COMPREHENSIVE MAJOR MEDICAL PLANLessons Learned
  • FEDERAL EMPLOYEES' HEALTH BENEFITS PROGRAM
  • Lessons Learned
  • 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 PopulationsHOW 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