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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


  1. Lessons Learned: Working with Navigators to Create a Consumer Friendly Out-of- Pocket Cost Tool Kevin Van Dyke, IMPAQ Health

  2. 2 Le Learnin ing Obje jectiv ives  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.  Le 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.

  3. 3 Overvie iew 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

  4. 4 Overvie iew  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:  Bipolar Disorder  Hepatitis C  Breast Cancer  HIV  Diabetes  Multiple Sclerosis  Pregnancy & Childbirth  Rheumatoid Arthritis  Heart Disease  Schizophrenia

  5. 5 Overvie iew DEPARTMENT OF FINANCIAL SERVICES NEW YORK STATE OF HEALTH NEW YORK STATE HEALTH FOUNDATION IMPAQ HEALTH ATTORNEY GENERAL’S OFFICE DEPARTMENT OF HEALTH NAVIGATORS INNOVATION

  6. 6 Th The Evi vidence • Prioritizing conditions • User- friendly design and • content Multiple testing • Consumer • rounds Navigators are resource key partners (System links Usability Scale)

  7. 7 The Evi Th vidence Average Question Scores by Round (Max Score of 4) 1.44 I found the various functions in this website were well integrated. 3 1.44 I felt very confident using the website. 3 1.67 I thought the website was easy to use. 3.33 Round 1 Round 2

  8. 8 Healt lth Poli licy Im Impli licatio ions Consumers face Consumers need Policymakers need hundreds of plan better tools to to incentivize choices and estimate costs by publicly available, limited plan and by nuanced tools information condition

  9. 9 Why Th This is Matters +  To break current paradigms  As chronic conditions become while also understanding real more prevalent, consumer world limitations, developers assistance tools need to be need to work more closely with innovative and bettered people who assist consumers on tailored a daily basis

  10. 10 Contact In Co Inform rmatio ion Kevin Van Dyke, MPP Principal Lead, Health Insurance Access & Value Based Care  Pho Phone: 202.774.1942  Em 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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