Recommended
More Related Content
What's hot
What's hot (18)
Similar to Health Insurance Literacy Impacts Health Disparities
Similar to Health Insurance Literacy Impacts Health Disparities (20)
More from evardell
More from evardell (20)
Recently uploaded
Recently uploaded (20)
Health Insurance Literacy Impacts Health Disparities
- 1. Health Insurance Literacy and Health Disparities EMILY VARDELL, PHD SCHOOL OF LIBRARY AND INFORMATION MANAGEMENT EMPORIA STATE UNIVERSITY @evardell
- 2. Outline for Todayâs Presentation â˘defining health insurance literacy â˘connections to health disparities â˘Kansas health insurance statistics â˘information resources for health insurance
- 3. Literacy Concerns Health Insurance Literacy: â˘âa new concept that addresses the extent to which consumers can make informed purchase and use decisionsâ â˘âknowledge, ability, and confidence to effectively choose and use health insuranceâ Kim, J., Braun, B., & Williams, A. D. (2013). Understanding Health Insurance Literacy: A Literature Review. Family and Consumer Sciences Research Journal, 42(1), 3-13.
- 4. Literacy Concerns Health Insurance Literacy: ďźhow to find a physician ďźfill a prescription ďźuse and pay for medications ďźuse a Health Savings Account (HSA) ďźuse preventive services (mammograms, annual physical)
- 6. Health Disparities Connection â˘65 years or older â˘ethnic minorities â˘ESL individuals â˘a lower socio-economic level â˘lower health status â˘lower levels of education â˘younger Americans â˘the uninsured Kutner, M., Greenburg, E., Jin, Y., & Paulsen, C. (2006). The health literacy of America's adults: Results from the 2003 National Assessment of Adult Literacy (NCES 2006- 483). Washington, DC: National Center for Education Statistics. McCormack, L., Bann, C., Uhrig, J., Berkman, N., & Rudd, R. (2009). Health insurance literacy of older adults. Journal of Consumer Affairs, 43(2), 223â248. Norton, M., Hamel, L. Brodie, M. (2014). Assessing Americans' familiarity with health insurance terms and concepts. Retrieved from Kaiser Family Foundation: http://kff.org/health-reform/poll-finding/assessing-americans-familiarity-with-health-insurance-terms-and-concepts/
- 7. Health Insurance Literacy Scores (Vardell, 2017)
- 8. Health Insurance Marketplace Enrollment (in millions) 8.1 11.7 12.7 12.2 11.8 2014 2015 2016 2017 2018 https://www.kff.org/state-category/health-coverage-uninsured/
- 10. Kansas Health Insurance Enrollment Trends Employer 54% Non-Group 9% Medicaid 15% Medicare 13% Uninsured 9% https://www.kff.org/state-category/health-coverage-uninsured/
- 11. Employer-Sponsored Coverage by State
- 13. Information Toolbox â˘My Health, My Voice â˘From Coverage to Care â˘AHRQ â˘MedlinePlus @evardell
- 14. My Health, My Voice All available in English and Spanish: ďąA Womanâs Step-by-Step Guide to Using Health Insurance ďą5 Steps to Using Your Health Insurance Wisely ďąThe 4 Kinds of Costs You May Pay ďąWhat is a Well-Woman Visit? ďąMy Health, My Voice: My Personal Health Journal http://www.myhealthmyvoice.com/get-a-copy
- 15. From Coverage to Care (CMS) https://www.cms.gov/About-CMS/Agency-Information/OMH/equity-initiatives/from-coverage-to-care.html
- 16. Learn how to use your insurance card From Coverage to Care (CMS) ⢠English (PDF, 7.2MB) ⢠Arabic / âŤŮ؊⏠âŤŘšŘąŘ¨âŹ âŤŘ§ŮâŹ( PDF, 64KB) ⢠Chinese / ä¸ć (PDF, 145KB) ⢠Haitian Creole/Kreyòl Ayisyen (PDF, 58KB) ⢠Korean / íęľě´ (PDF, 97KB) ⢠Russian / Đ ŃŃŃкиК (PDF, 63KB) ⢠Spanish / EspaĂąol (PDF, 160KB) ⢠Vietnamese/TIáşžNG VIáťT (PDF, 61KB) https://www.cms.gov/About-CMS/Agency-Information/OMH/equity-initiatives/from-coverage-to-care.html
- 17. You can print/order copies https://marketplace.cms.gov/outrea ch-and-education/order-coverage- to-care-materials.html http://www.myhealthmyvoice.com/ get-a-copy/
- 18. Be prepared to share family medical history. ďźWrite down questions. ďźWhat is the test for? ďźWhen will I get the results? ďźWhy do I need this treatment? ďźAre there any alternatives? ďźAre there any side effects? http://www.ahrq.gov/patients-consumers/patient-involvement/ask- your-doctor/index.html
- 19. Questions to ask your doctor (AHRQ) â˘The 10 questions you should know â˘Questions to ask before your appointment â˘Questions to ask during your appointment â˘Questions to ask after your appointment â˘Build your own list of questions http://www.ahrq.gov/patients-consumers/patient-involvement/ask-your-doctor/index.html
- 20. Visit your Primary Care Provider and take follow up action https://medlineplus.gov/
- 21. Source
Editor's Notes
- Today our discussions will focus on the ACA timeline and resources to support consumersâ use of health insurance, particularly now that more people are covered. How can we help equip them with the skills needed to navigate the health care system for the first time? I will also provide examples of successful partnerships for achieving ACA outreach. Lastly, I will discuss how to locate ACA data sets to support patronsâ professional research or even your own. In this webinar I am going to focus on where weâre headed and what we as medical librarians can do to assist. But first, I will quickly recap to get us all up to speed.
- When we think about individualsâ ability to interact effectively with the health insurance system, we talk about health insurance literacy. Draw your attention to the latter part of the definition which focuses on the USE of health insurance. NEXT SLIDE
- When we think about individualsâ ability to interact effectively with the health insurance system, we talk about health insurance literacy. Draw your attention to the latter part of the definition which focuses on the USE of health insurance. NEXT SLIDE
- Familiarity with the United States health care system culture played an important role in individualsâ perceived health insurance literacy abilities. The two participants most familiar with non-U.S. health care systems had the lowest HILM scores of any of the participants. It can reasonably be concluded that a lack of familiarity with the health care and health insurance system in the United States leads to a lower HILM score. Individuals who are new to the United States will most likely require additional assistance navigating the U.S. health care system including insurance. The average cumulative HILM score for those selecting health insurance for the first time was 2.82, also below the average HILM score for participants in this study (3.00). This data suggests that unfamiliarity with selecting health insurance may be reflected through lower health insurance decision-making self-efficacy, as demonstrated through HILM. There may be different types of information needs for those selecting health insurance for the first time or those more familiar with non-US health care systems.
- We have millions of people with health insurance, potentially for the first time. They are likely to need assistance with the USE of their health insurance.
- The Kaiser Family Foundation (kff.org) is an excellent source for health data, in particular data focused on health insurance. You can select your state to link directly to state-level stats or you can select one of the predefined categories.
- We have millions of people with health insurance, potentially for the first time. They are likely to need assistance with the USE of their health insurance.
- I think we can all agree that the health system in the United States needs some work. And statistics show we spend more on health care than other comparable countries. This quote from the Department of Health and Human Services emphasizes the key role that librarians can play in this arena. âThe success of health system reform will depend in large part on the capacity of individuals, families, and communities to make informed decisions about their health.â The key word INFORMED makes a direct connection with the skills that librarians are equipped with to help individuals, families, and communities, as the quote states.
- While it was developed specifically with women in mind, it works with a diverse audience and is available in Spanish and English, with several print-ready resources. You can see a full list of them in the right-hand column here. The Step-by-Step guide includes a lengthy section with clear, easy-to-read information on understanding costs when using health insurance. For example, it provides descriptions of premiums, deductibles, copay, and coinsurance.
- In addition to the learn how to use your health insurance guide, From Coverage to Care uses a âroadmapâ analogy to help individuals learn to use their health insurance and interact with the health care system. Iâll be highlighting a few more of these sections as we continue our discussions.
- The Centers for Medicare & Medicaid Services also offer a helpful guide called âFrom Coverage to Care,â which offers similar information to the previous examples I have shared. They also offer a sheet on how to decode your insurance card and this handout (which is shown in a small version on the left-hand side) is also available in several languages from CMS. This unique aspect makes this a very valuable resource for those working with populations for whom English is not a native language.
- You can order print copies of From Coverage to Care at no cost to you and can print out copies of My Health, My Voice in both color and black and white. COST
- People may be using medications for the first time, and it would be wise to point them to authoritative resources for drug information.
- My goal is that individuals are empowered with access to quality health insurance information and have the skills to understand the information and make a health insurance choice that matches their health needs. This would save people money and, hopefully, increase their health statuses, reducing health disparities. Iâd like to hear what your goals are as well. Please feel free to add them to the chat box. In conclusion, Providing health insurance information is not a solitary game.
- Providing health insurance information is not a solitary game. I have provided some resources to help guide you as well as examples of individuals who are partnering with other groups to provide quality health insurance information. I hope now that you have attended this webinar, you wonât feel alone in answering Affordable Care Act questions!