with Navigators to Create a Consumer Friendly Out-of- Pocket Cost - - PowerPoint PPT Presentation

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with Navigators to Create a Consumer Friendly Out-of- Pocket Cost - - PowerPoint PPT Presentation

Lessons Learned: Working with Navigators to Create a Consumer Friendly Out-of- Pocket Cost Tool Kevin Van Dyke, IMPAQ Health 2 Le Learnin ing Obje jectiv ives Le Learn rning Ob Obje jective 1: With more Americans managing high-cost


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Kevin Van Dyke, IMPAQ Health

Lessons Learned: Working with Navigators to Create a Consumer Friendly Out-of- Pocket Cost Tool

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  • Le

Learn rning Ob Obje jective 1: With more Americans managing high-cost chronic conditions and more out-of-pocket costs shifting to consumers, there is a need for innovative, better tailored tools that facilitate informed health plan selections.

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Learn rning Ob Obje jective 2: : Navigators are important assets in the development of these tools given their key role in helping consumers understand and select plans.

Le Learnin ing Obje jectiv ives

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One in two adults in the United States have a chronic condition Out-of-pocket costs are rising Many healthcare costs are hidden Current tools do not fully meet consumer needs

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  • The NYP

YPlanCosts ts Ca Calculator is an easy-to-use website that provides annual out-of-pocket cost estimates by plan for New Yorkers with the following common chronic conditions and life events:

  • Hepatitis C
  • HIV
  • Multiple Sclerosis
  • Rheumatoid Arthritis
  • Schizophrenia
  • Bipolar Disorder
  • Breast Cancer
  • Diabetes
  • Pregnancy & Childbirth
  • Heart Disease

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INNOVATION

NAVIGATORS ATTORNEY GENERAL’S OFFICE NEW YORK STATE HEALTH FOUNDATION DEPARTMENT OF HEALTH IMPAQ HEALTH NEW YORK STATE OF HEALTH DEPARTMENT OF FINANCIAL SERVICES

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Th The Evi vidence

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  • Prioritizing

conditions

  • User-

friendly design and content

  • Consumer

resource links

  • Multiple

testing rounds (System Usability Scale)

  • Navigators are

key partners

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Th The Evi vidence

3.33 3 3 1.67 1.44 1.44

I thought the website was easy to use. I felt very confident using the website. I found the various functions in this website were well integrated.

Average Question Scores by Round (Max Score of 4)

Round 1 Round 2 7

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Healt lth Poli licy Im Impli licatio ions

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Consumers face hundreds of plan choices and limited information Consumers need better tools to estimate costs by plan and by condition Policymakers need to incentivize publicly available, nuanced tools

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Why Th This is Matters

  • As chronic conditions become

more prevalent, consumer assistance tools need to be innovative and bettered tailored

  • To break current paradigms

while also understanding real world limitations, developers need to work more closely with people who assist consumers on a daily basis

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Co Contact In Inform rmatio ion

Kevin Van Dyke, MPP Principal Lead, Health Insurance Access & Value Based Care

  • Pho

Phone: 202.774.1942

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Email il: KVanDyke@impaqint.com

  • Website: NYPlanCosts.org
  • Twit

itter: @NYPlanCosts

  • IMP

IMPAQ He Health: http://www.impaqint.com/practice-areas/impaq-health

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