Optimizing Enrollment in Employer Health Programs: A Comparison of Enrollment Strategies in the Diabetes Health Plan

Details

• Alternative Title:
  Am J Manag Care
• Personal Author:
  Kimbro, Lindsay B. ; Li, Jinnan ; Turk, Norman ; Ettner, Susan L. ; Moin, Tannaz ; Mangione, Carol M. ; Duru, O. Kenrik
• Description:
  Background
  
  Many health programs struggle with low enrollment rates.
  
  Objectives
  
  To compare the characteristics of populations enrolled in a new health plan when employer groups implement voluntary versus automatic enrollment approaches.
  
  Research Design
  
  We analyzed enrollment rates from two different strategies: voluntary or automatic enrollment. We used regression modeling to estimate the associations of patient characteristics with the probability of enrolling within each strategy.
  
  Subjects
  
  5,014 eligible employees from 11 self-insured employers who had purchased the Diabetes Health Plan (DHP), which offers free or discounted copayments for diabetes related medications, testing supplies, and physician visits. Six employers used voluntary enrollment while five used automatic enrollment.
  
  Measures
  
  The main outcome of interest was enrollment into the DHP. Predictors were gender, age, race/ethnicity, dependent status, household income, education level, number of comorbidities, and employer group.
  
  Results
  
  Overall, the proportion of eligible members who were enrolled within the automatic enrollment strategy was 91% compared with 35% for voluntary enrollment. Income was a significant predictor for voluntary enrollment but not for automatic enrollment. Within automatic enrollment, covered dependents, Hispanics, and persons with one non-diabetes comorbidity were more likely to enroll than other subgroups. Employer group was also a significant correlate of enrollment. Notably, all demographic groups had higher DHP enrollment rates under automatic enrollment than under voluntary enrollment.
  
  Conclusions
  
  For employer-based programs that struggle with low enrollment rates, especially among certain employee subgroups, an automatic enrollment strategy may not only increase the total number of enrollees but may also decrease some enrollment disparities.
  
  
• Subjects:
  Adolescent Adult Deductibles And Coinsurance Diabetes Mellitus Employee Incentive Plans Female Health Benefit Plans, Employee Humans Hypoglycemic Agents Male Middle Aged Young Adult

  More +
• Source:
  Am J Manag Care. 20(8):e311-e319
• Pubmed ID:
  25295794
• Pubmed Central ID:
  PMC4353493
• Document Type:
  Journal Article
• Funding:
  P30 AG021684/AG/NIA NIH HHS/United States ; P30-AG021684/AG/NIA NIH HHS/United States ; K08 AG033630/AG/NIA NIH HHS/United States ; DP002722/DP/NCCDPHP CDC HHS/United States ; U58 DP002722/DP/NCCDPHP CDC HHS/United States
• Place as Subject:
  United States
• Volume:
  20
• Issue:
  8
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:59d4d8f771e1527f504d74615c4b53aa8e766eb47d2a77a57e885c6b2722e23a
• Download URL:
  https://stacks.cdc.gov/view/cdc/30318/cdc_30318_DS1.pdf
• File Type:
  [PDF - 380.60 KB ]