THE COMMONWEALTH FUND Figure 1. Distribution of Individuals Covered by Private Health Insurance, by Type of Health Plan Comprehensive = health plan with.

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Presentation transcript:

THE COMMONWEALTH FUND Figure 1. Distribution of Individuals Covered by Private Health Insurance, by Type of Health Plan Comprehensive = health plan with no deductible or <$1,000 (individual), <$2,000 (family). HDHP = high-deductible health plan with deductible $1,000+ (individual), $2,000+ (family), no account. CDHP = consumer-driven health plan with deductible $1,000+ (individual), $2,000+ (family), with account. Note: Percentages may not sum to 100% due to rounding Source: EBRI/Commonwealth Fund Consumerism in Health Care Survey, 2006; P. Fronstin, S.R. Collins, Early Experience with High-Deductible and Consumer-Driven Health Plans: Findings From the EBRI/Commonwealth Fund Consumerism in Health Care Survey, EBRI Issue Brief, Dec

THE COMMONWEALTH FUND Figure 2. Selected Demographics, by Type of Health Plan ComprehensiveHDHPCDHP Gender Male49% 50% Female51 50 Age 21–343324* 35– * 45– – Married7455*61* Has children4235*44 Race/Ethnicity White, non-Hispanic7183*81* Minority2917*19* Comprehensive = health plan with no deductible or <$1,000 (individual), <$2,000 (family). HDHP = high-deductible health plan with deductible $1,000+ (individual), $2,000+ (family), no account. CDHP = consumer-driven health plan with deductible $1,000+ (individual), $2,000+ (family), with account. *Difference between HDHP/CDHP and Comprehensive is statistically significant at p 0.05 or better. Source: EBRI/Commonwealth Fund Consumerism in Health Care Survey, 2006.

THE COMMONWEALTH FUND Figure 3. Household Income and Education, by Type of Health Plan ComprehensiveHDHPCDHP Household Income Less than $30,00012%17%*13% $30,000–$49, *24 $50,000–$99, $100,000 or more218*11* Education High school graduate or less 3817*11* Some college, trade or business school 2936*33* College graduate or some graduate work 2235*41* Graduate degree Comprehensive = health plan with no deductible or <$1,000 (individual), <$2,000 (family). HDHP = high-deductible health plan with deductible $1,000+ (individual), $2,000+ (family), no account. CDHP = consumer-driven health plan with deductible $1,000+ (individual), $2,000+ (family), with account. *Difference between HDHP/CDHP and Comprehensive is statistically significant at p 0.05 or better. Source: EBRI/Commonwealth Fund Consumerism in Health Care Survey, 2006.

THE COMMONWEALTH FUND Figure 4. Self-Rated Health Status, by Type of Health Plan ComprehensiveHDHPCDHP Self-Rated Health Status Excellent/very good54%53%60%* Good Fair/poor12137* At least one chronic health condition** * Health Problem***515344* Obese Smokes cigarettes2418*14* No regular exercise25 19* Comprehensive = health plan with no deductible or <$1,000 (individual), <$2,000 (family). HDHP = high-deductible health plan with deductible $1,000+ (individual), $2,000+ (family), no account. CDHP = consumer-driven health plan with deductible $1,000+ (individual), $2,000+ (family), with account. *Difference between HDHP/CDHP and Comprehensive is statistically significant at p 0.05 or better. **Arthritis; asthma, emphysema or lung disease; cancer; depression; diabetes; heart attack or other heart disease; high cholesterol; or hypertension, high blood pressure or stroke. ***Health problem defined as fair or poor health or one of eight chronic health conditions. Source: EBRI/Commonwealth Fund Consumerism in Health Care Survey, 2006.

THE COMMONWEALTH FUND Figure 5. Distribution of Privately Insured Adults, by Firm Size Comprehensive = health plan with no deductible or <$1,000 (individual), <$2,000 (family). HDHP = high-deductible health plan with deductible $1,000+ (individual), $2,000+ (family), no account. CDHP = consumer-driven health plan with deductible $1,000+ (individual), $2,000+ (family), with account. *Difference between HDHP/CDHP and Comprehensive is statistically significant at p 0.05 or better. Percent of adults 21–64 who are employed full- or part-time or are self- employed/business owner Source: EBRI/Commonwealth Fund Consumerism in Health Care Survey, 2006.

THE COMMONWEALTH FUND Figure 6. Number of Years Covered by Current Health Plan, by Type of Health Plan Comprehensive = health plan with no deductible or <$1,000 (individual), <$2,000 (family). HDHP = high-deductible health plan with deductible $1,000+ (individual), $2,000+ (family), no account. CDHP = consumer-driven health plan with deductible $1,000+ (individual), $2,000+ (family), with account. *Difference between HDHP/CDHP and Comprehensive is statistically significant at p 0.05 or better. Percent of privately insured adults 21–64 Source: EBRI/Commonwealth Fund Consumerism in Health Care Survey, 2006.

THE COMMONWEALTH FUND Figure 7. Familiarity with Consumer-Driven Health Plans, 2006 Comprehensive = health plan with no deductible or <$1,000 (individual), <$2,000 (family). HDHP = high-deductible health plan with deductible $1,000+ (individual), $2,000+ (family), no account. CDHP = consumer-driven health plan with deductible $1,000+ (individual), $2,000+ (family), with account. *Difference between HDHP/CDHP and Comprehensive is statistically significant at p 0.05 or better. Percent of privately insured adults 21–64 Source: EBRI/Commonwealth Fund Consumerism in Health Care Survey, 2006.

THE COMMONWEALTH FUND Figure 8. Familiarity with Consumer-Driven Health Plans, 2005–2006 Source: EBRI/Commonwealth Fund Consumerism in Health Care Survey, 2005 and Percent of privately insured adults 21–64

THE COMMONWEALTH FUND Figure 9. Percent of Privately Insured Adults Who Did Not Have Health Insurance Before Enrolling in Their Current Plan, by Coverage Source Comprehensive = health plan with no deductible or <$1,000 (individual), <$2,000 (family). HDHP = high-deductible health plan with deductible $1,000+ (individual), $2,000+ (family), no account. CDHP = consumer-driven health plan with deductible $1,000+ (individual), $2,000+ (family), with account. *Difference between HDHP/CDHP and Comprehensive is statistically significant at p 0.05 or better. Percent of privately insured adults 21–64 Source: EBRI/Commonwealth Fund Consumerism in Health Care Survey, 2006.

THE COMMONWEALTH FUND Figure 10. Satisfaction with Quality of Health Care Received, by Type of Health Plan, 2006 Comprehensive = health plan with no deductible or <$1,000 (individual), <$2,000 (family). HDHP = high-deductible health plan with deductible $1,000+ (individual), $2,000+ (family), no account. CDHP = consumer-driven health plan with deductible $1,000+ (individual), $2,000+ (family), with account. *Difference between HDHP/CDHP and Comprehensive is statistically significant at p 0.05 or better. Percent of privately insured adults 21–64 Source: EBRI/Commonwealth Fund Consumerism in Health Care Survey, 2006.

THE COMMONWEALTH FUND Figure 11. Percent of Individuals Extremely or Very Satisfied with Quality of Health Care Received, by Type of Health Plan, 2005–2006 Source: EBRI/Commonwealth Fund Consumerism in Health Care Survey, Comprehensive = health plan with no deductible or <$1,000 (individual), <$2,000 (family). HDHP = high-deductible health plan with deductible $1,000+ (individual), $2,000+ (family), no account. CDHP = consumer-driven health plan with deductible $1,000+ (individual), $2,000+ (family), with account. *Difference between HDHP/CDHP and Comprehensive is statistically significant at p 0.05 or better. ^Difference between 2005 and 2006 is statistically significant at p < 0.05 or better. Percent of privately insured adults 21–64 extremely/very satisfied

THE COMMONWEALTH FUND Figure 12. Satisfaction with Out-of-Pocket Costs for Health Care, by Type of Health Plan, 2006 Comprehensive = health plan with no deductible or <$1,000 (individual), <$2,000 (family). HDHP = high-deductible health plan with deductible $1,000+ (individual), $2,000+ (family), no account. CDHP = consumer-driven health plan with deductible $1,000+ (individual), $2,000+ (family), with account. *Difference between HDHP/CDHP and Comprehensive is statistically significant at p 0.05 or better. Percent of privately insured adults 21–64 Source: EBRI/Commonwealth Fund Consumerism in Health Care Survey, 2006.

THE COMMONWEALTH FUND Figure 13. Percent of Individuals Extremely or Very Satisfied with Out-of-Pocket Costs for Health Care, by Type of Health Plan, 2005–2006 Comprehensive = health plan with no deductible or <$1,000 (individual), <$2,000 (family). HDHP = high-deductible health plan with deductible $1,000+ (individual), $2,000+ (family), no account. CDHP = consumer-driven health plan with deductible $1,000+ (individual), $2,000+ (family), with account. *Difference between HDHP/CDHP and Comprehensive is statistically significant at p 0.05 or better. ^Difference between 2005 and 2006 is statistically significant at p < 0.05 or better. Percent of privately insured adults 21–64 extremely/very satisfied Source: EBRI/Commonwealth Fund Consumerism in Health Care Survey, 2006.

THE COMMONWEALTH FUND Figure 14. Satisfaction with Choice of Doctors, by Type of Health Plan, 2006 Comprehensive = health plan with no deductible or <$1,000 (individual), <$2,000 (family). HDHP = high-deductible health plan with deductible $1,000+ (individual), $2,000+ (family), no account. CDHP = consumer-driven health plan with deductible $1,000+ (individual), $2,000+ (family), with account. *Difference between HDHP/CDHP and Comprehensive is statistically significant at p 0.05 or better. Source: EBRI/Commonwealth Fund Consumerism in Health Care Survey, 2006.

THE COMMONWEALTH FUND Figure 15. Percent of Individuals Extremely or Very Satisfied with Choice of Doctors, by Type of Health Plan, 2005–2006 Comprehensive = health plan with no deductible or <$1,000 (individual), <$2,000 (family). HDHP = high-deductible health plan with deductible $1,000+ (individual), $2,000+ (family), no account. CDHP = consumer-driven health plan with deductible $1,000+ (individual), $2,000+ (family), with account. *Difference between HDHP/CDHP and Comprehensive is statistically significant at p 0.05 or better. ^Difference between 2005 and 2006 is statistically significant at p < 0.05 or better. Source: EBRI/Commonwealth Fund Consumerism in Health Care Survey, 2006.

THE COMMONWEALTH FUND Figure 16. Overall Satisfaction with Health Plan, by Type of Health Plan, 2006 Comprehensive = health plan with no deductible or <$1,000 (individual), <$2,000 (family). HDHP = high-deductible health plan with deductible $1,000+ (individual), $2,000+ (family), no account. CDHP = consumer-driven health plan with deductible $1,000+ (individual), $2,000+ (family), with account. *Difference between HDHP/CDHP and Comprehensive is statistically significant at p 0.05 or better. Percent of privately insured adults 21–64 Source: EBRI/Commonwealth Fund Consumerism in Health Care Survey, 2006.

THE COMMONWEALTH FUND Figure 17. Percent of Individuals Extremely or Very Satisfied with Health Plan, by Type of Health Plan, 2005–2006 Comprehensive = health plan with no deductible or <$1,000 (individual), <$2,000 (family). HDHP = high-deductible health plan with deductible $1,000+ (individual), $2,000+ (family), no account. CDHP = consumer-driven health plan with deductible $1,000+ (individual), $2,000+ (family), with account. *Difference between HDHP/CDHP and Comprehensive is statistically significant at p 0.05 or better. ^Difference between 2005 and 2006 is statistically significant at p < 0.05 or better. Percent of privately insured adults 21–64 extremely/very satisfied Source: EBRI/Commonwealth Fund Consumerism in Health Care Survey, 2006.

THE COMMONWEALTH FUND Figure 18. Likelihood of Recommending Health Plan to Friend or Co-Worker, by Type of Health Plan, 2006 Comprehensive = health plan with no deductible or <$1,000 (individual), <$2,000 (family). HDHP = high-deductible health plan with deductible $1,000+ (individual), $2,000+ (family), no account. CDHP = consumer-driven health plan with deductible $1,000+ (individual), $2,000+ (family), with account. *Difference between HDHP/CDHP and Comprehensive is statistically significant at p 0.05 or better. Percent of privately insured adults 21–64 Source: EBRI/Commonwealth Fund Consumerism in Health Care Survey, 2006.

THE COMMONWEALTH FUND Figure 19. Percent of Individuals Extremely or Very Likely to Recommend Health Plan to Friend or Co-Worker, by Type of Health Plan, 2005–2006 Comprehensive = health plan with no deductible or <$1,000 (individual), <$2,000 (family). HDHP = high-deductible health plan with deductible $1,000+ (individual), $2,000+ (family), no account. CDHP = consumer-driven health plan with deductible $1,000+ (individual), $2,000+ (family), with account. *Difference between HDHP/CDHP and Comprehensive is statistically significant at p 0.05 or better. ^Difference between 2005 and 2006 is statistically significant at p < 0.05 or better. Percent of privately insured adults 21–64 extremely/very likely to recommend plan Source: EBRI/Commonwealth Fund Consumerism in Health Care Survey, 2006.

THE COMMONWEALTH FUND Figure 20. Likelihood of Staying with Current Health Plan If Had the Opportunity to Change, by Type of Health Plan, 2006 Comprehensive = health plan with no deductible or <$1,000 (individual), <$2,000 (family). HDHP = high-deductible health plan with deductible $1,000+ (individual), $2,000+ (family), no account. CDHP = consumer-driven health plan with deductible $1,000+ (individual), $2,000+ (family), with account. *Difference between HDHP/CDHP and Comprehensive is statistically significant at p 0.05 or better. Percent of privately insured adults 21–64 Source: EBRI/Commonwealth Fund Consumerism in Health Care Survey, 2006.

THE COMMONWEALTH FUND Figure 21. Percent of Individuals Extremely or Very Likely to Stay with Current Health Plan If Had the Opportunity to Change, by Type of Health Plan, 2005–2006 Comprehensive = health plan with no deductible or <$1,000 (individual), <$2,000 (family). HDHP = high-deductible health plan with deductible $1,000+ (individual), $2,000+ (family), no account. CDHP = consumer-driven health plan with deductible $1,000+ (individual), $2,000+ (family), with account. *Difference between HDHP/CDHP and Comprehensive is statistically significant at p 0.05 or better. ^Difference between 2005 and 2006 is statistically significant at p < 0.05 or better. Percent of privately insured adults 21–64 extremely/very likely to stay Source: EBRI/Commonwealth Fund Consumerism in Health Care Survey, 2006.

THE COMMONWEALTH FUND Figure 22. Percent of Individuals Covered by Employment-Based Health Benefits with No Choice of Health Plan, by Type of Health Plan, 2006 Comprehensive = health plan with no deductible or <$1,000 (individual), <$2,000 (family). HDHP = high-deductible health plan with deductible $1,000+ (individual), $2,000+ (family), no account. CDHP = consumer-driven health plan with deductible $1,000+ (individual), $2,000+ (family), with account. *Difference between HDHP/CDHP and Comprehensive is statistically significant at p 0.05 or better. Percent of adults 21–64 with employer insurance with no plan choice Source: EBRI/Commonwealth Fund Consumerism in Health Care Survey, 2006.

THE COMMONWEALTH FUND Figure 23. Percent of Individuals Covered by Employment-Based Health Benefits with No Choice of Health Plan, by Type of Health Plan, 2005–2006 Comprehensive = health plan with no deductible or <$1,000 (individual), <$2,000 (family). HDHP = high-deductible health plan with deductible $1,000+ (individual), $2,000+ (family), no account. CDHP = consumer-driven health plan with deductible $1,000+ (individual), $2,000+ (family), with account. *Difference between HDHP/CDHP and Comprehensive is statistically significant at p 0.05 or better. ^Difference between 2005 and 2006 is statistically significant at p < 0.05 or better. Percent of adults 21–64 with employer insurance with no plan choice Source: EBRI/Commonwealth Fund Consumerism in Health Care Survey, 2006.

THE COMMONWEALTH FUND Figure 24. Agreement with Statements About Health Plan: Percent Reporting That They Strongly or Somewhat Agree, by Type of Health Plan Comprehensive = health plan with no deductible or <$1,000 (individual), <$2,000 (family). HDHP = high-deductible health plan with deductible $1,000+ (individual), $2,000+ (family), no account. CDHP = consumer-driven health plan with deductible $1,000+ (individual), $2,000+ (family), with account. *Difference between HDHP/CDHP and Comprehensive is statistically significant at p 0.05 or better. Percent of privately insured adults 21–64 who strongly/somewhat agree Source: EBRI/Commonwealth Fund Consumerism in Health Care Survey, 2006.

THE COMMONWEALTH FUND Figure 25. Percent of Individuals Reporting That They Strongly or Somewhat Agree That Health Plan is Easy to Understand, by Type of Health Plan, 2005–2006 Comprehensive = health plan with no deductible or <$1,000 (individual), <$2,000 (family). HDHP = high-deductible health plan with deductible $1,000+ (individual), $2,000+ (family), no account. CDHP = consumer-driven health plan with deductible $1,000+ (individual), $2,000+ (family), with account. *Difference between HDHP/CDHP and Comprehensive is statistically significant at p 0.05 or better. ^Difference between 2005 and 2006 is statistically significant at p < 0.05 or better. Percent of privately insured adults 21–64 who strongly/somewhat agree Source: EBRI/Commonwealth Fund Consumerism in Health Care Survey, 2006.

THE COMMONWEALTH FUND Figure 26. Percent of Individuals Reporting That They Strongly or Somewhat Agree that Health Plan Will Protect Them in the Event of an Expensive Illness, by Type of Health Plan, 2005–2006 Comprehensive = health plan with no deductible or <$1,000 (individual), <$2,000 (family). HDHP = high-deductible health plan with deductible $1,000+ (individual), $2,000+ (family), no account. CDHP = consumer-driven health plan with deductible $1,000+ (individual), $2,000+ (family), with account. *Difference between HDHP/CDHP and Comprehensive is statistically significant at p 0.05 or better. ^Difference between 2005 and 2006 is statistically significant at p < 0.05 or better. Source: EBRI/Commonwealth Fund Consumerism in Health Care Survey, 2006.

THE COMMONWEALTH FUND Figure 27. Percent of Individuals Reporting That They Strongly or Somewhat Agree That Health Plan Encourages Adoption of Healthier Lifestyle, by Type of Health Plan, 2005–2006 Comprehensive = health plan with no deductible or <$1,000 (individual), <$2,000 (family). HDHP = high-deductible health plan with deductible $1,000+ (individual), $2,000+ (family), no account. CDHP = consumer-driven health plan with deductible $1,000+ (individual), $2,000+ (family), with account. *Difference between HDHP/CDHP and Comprehensive is statistically significant at p 0.05 or better. ^Difference between 2005 and 2006 is statistically significant at p < 0.05 or better. Percent of privately insured adults 21–64 who strongly/somewhat agree Source: EBRI/Commonwealth Fund Consumerism in Health Care Survey, 2006.

THE COMMONWEALTH FUND Figure 28. Percent of Individuals Reporting That They Strongly or Somewhat Agree That Health Plan Provides Information to Help Choose Among Providers, by Type of Health Plan, 2005–2006 Comprehensive = health plan with no deductible or <$1,000 (individual), <$2,000 (family). HDHP = high-deductible health plan with deductible $1,000+ (individual), $2,000+ (family), no account. CDHP = consumer-driven health plan with deductible $1,000+ (individual), $2,000+ (family), with account. *Difference between HDHP/CDHP and Comprehensive is statistically significant at p 0.05 or better. ^Difference between 2005 and 2006 is statistically significant at p < 0.05 or better. Source: EBRI/Commonwealth Fund Consumerism in Health Care Survey, 2006.

THE COMMONWEALTH FUND Comprehensive = health plan with no deductible or <$1,000 (individual), <$2,000 (family). HDHP = high-deductible health plan with deductible $1,000+ (individual), $2,000+ (family), no account. CDHP = consumer-driven health plan with deductible $1,000+ (individual), $2,000+ (family), with account. *Difference between HDHP/CDHP and Comprehensive is statistically significant at p 0.05 or better. Figure 29. Agreement with Statements About Priorities for the Health Care System: Percent Reporting That They Strongly or Somewhat Agree, by Type of Health Plan Percent of privately insured adults 21–64 who strongly/somewhat agree Source: EBRI/Commonwealth Fund Consumerism in Health Care Survey, 2006.

THE COMMONWEALTH FUND Comprehensive = health plan with no deductible or <$1,000 (individual), <$2,000 (family). HDHP = high-deductible health plan with deductible $1,000+ (individual), $2,000+ (family), no account. CDHP = consumer-driven health plan with deductible $1,000+ (individual), $2,000+ (family), with account. *Difference between HDHP/CDHP and Comprehensive is statistically significant at p 0.05 or better. Figure 30. Premium of Selected Plan Compared with Other Available Plans, Among Individuals with Choice of Plans and Those in the Individual Market, by Type of Health Plan Percent of privately insured adults 21–64 with choice of plan Source: EBRI/Commonwealth Fund Consumerism in Health Care Survey, 2006.

THE COMMONWEALTH FUND Figure 31. Percent of Individuals with Comprehensive Employment-Based Health Benefits and Choice of Health Plan Offered CDHP 9% Offered HDHP 13% HDHP or CDHP offered 11% Dont know if CDHP or HDHP was offered 39% Not offered a CDHP or HDHP 28% Comprehensive = health plan with no deductible or <$1,000 (individual), <$2,000 (family). HDHP = high-deductible health plan with deductible $1,000+ (individual), $2,000+ (family), no account. CDHP = consumer-driven health plan with deductible $1,000+ (individual), $2,000+ (family), with account. Source: EBRI/Commonwealth Fund Consumerism in Health Care Survey, 2006.

THE COMMONWEALTH FUND Figure 32. Reasons for Deciding Not to Open a Health Savings Account Percent of privately insured adults 21–64 with HDHPs with option to open a health savings account but did not HDHP = high-deductible health plan with deductible $1,000+ (individual), $2,000+ (family), no account. Source: EBRI/Commonwealth Fund Consumerism in Health Care Survey, 2006.

THE COMMONWEALTH FUND Figure 33. Percent of Individuals with Employer Contribution to Account, Among Persons with Employment-Based Health Benefits and CDHP Dont know 3% No employer contributions 32% Employer contributes to account 65% CDHP = consumer-driven health plan with deductible $1,000+ (individual), $2,000+ (family), with account. Source: EBRI/Commonwealth Fund Consumerism in Health Care Survey, 2006.

THE COMMONWEALTH FUND Figure 34. Annual Employer Contributions to the Account, Among Persons with CDHP Whose Employer Contributes to Account Less than $200 7% $200–$499 15% $1,000 or more 43% CDHP = consumer-driven health plan with deductible $1,000+ (individual), $2,000+ (family), with account. Note: Both single-person and family plans. $500–$749 18% $750–$999 9% Dont know 8% Source: EBRI/Commonwealth Fund Consumerism in Health Care Survey, 2006.

THE COMMONWEALTH FUND CDHP = consumer-driven health plan with deductible $1,000+ (individual), $2,000+ (family), with account. *Difference between individual coverage and family coverage is statistically significant at p 0.05 or better. Figure 35. Annual Employer Contributions to the Account, Among Persons with CDHP Percent of adults 21–64 with CDHPs and employer contributions Source: EBRI/Commonwealth Fund Consumerism in Health Care Survey, 2006.

THE COMMONWEALTH FUND CDHP = consumer-driven health plan with deductible $1,000+ (individual), $2,000+ (family), with account. *Difference between <$50,000 income and $50,000+ income is statistically significant at p 0.05 or better. Figure 36. Annual Employee Contributions to the Account, by Household Income, Among Persons with CDHP Percent of adults 21–64 with CDHPs Source: EBRI/Commonwealth Fund Consumerism in Health Care Survey, 2006.

THE COMMONWEALTH FUND CDHP = consumer-driven health plan with deductible $1,000+ (individual), $2,000+ (family), with account. *Difference between individual coverage and family coverage is statistically significant at p 0.05 or better. Figure 37. Annual Employee Contributions to the Account, by Type of Coverage, Among Persons with CDHP Percent of adults 21–64 with CDHPs Source: EBRI/Commonwealth Fund Consumerism in Health Care Survey, 2006.

THE COMMONWEALTH FUND Figure 38. Length of Time with CDHP and Savings Account Less than 6 months 15% 6 months to less than 1 year 42% 1–2 years 30% CDHP = consumer-driven health plan with deductible $1,000+ (individual), $2,000+ (family), with account. 5 or more years 3% 3–4 years 9% Dont know 1% Source: EBRI/Commonwealth Fund Consumerism in Health Care Survey, 2006.

THE COMMONWEALTH FUND CDHP = consumer-driven health plan with deductible $1,000+ (individual), $2,000+ (family), with account. *Difference between health status categories is statistically significant at p 0.05 or better. **Health problem defined as fair or poor health or one of eight chronic health conditions. Note: Both single-person and family plans. Figure 39. Amount of Money Rolled Over in the CDHP, Among Individuals with CDHP One Year or Longer, by Health Status** Percent of adults 21–64 with CDHP 1 year or more Source: EBRI/Commonwealth Fund Consumerism in Health Care Survey, 2006.

THE COMMONWEALTH FUND Figure 40. Amount of Money Currently in Account, Among Individuals with a CDHP CDHP = consumer-driven health plan with deductible $1,000+ (individual), $2,000+ (family), with account. Percent of adults 21–64 with CDHPs Source: EBRI/Commonwealth Fund Consumerism in Health Care Survey, 2006.

THE COMMONWEALTH FUND Figure 41. Annual Deductibles, by Type of Health Plan ComprehensiveHDHPCDHP Single Person Deductible No deductible35% $1–$49938 $500–$99914 $1,000–$1,99960%48% $2,000–$4, $5,000 or higher95 Family Deductible No deductible46 $1–$99937 $1,000–$1,9997 $2,000–$4, $5,000 or higher1829 Comprehensive = health plan with no deductible or <$1,000 (individual), <$2,000 (family). HDHP = high-deductible health plan with deductible $1,000+ (individual), $2,000+ (family), no account. CDHP = consumer-driven health plan with deductible $1,000+ (individual), $2,000+ (family), with account. Source: EBRI/Commonwealth Fund Consumerism in Health Care Survey, 2006.

THE COMMONWEALTH FUND Figure 42. Annual Household Premium for Health Insurance, by Type of Health Plan ComprehensiveHDHPCDHP Annual Premium (Household) None1712* Less then $2, *47 $2,400–$3,599914* $3,600 or more1425*21* Comprehensive = health plan with no deductible or <$1,000 (individual), <$2,000 (family). HDHP = high-deductible health plan with deductible $1,000+ (individual), $2,000+ (family), no account. CDHP = consumer-driven health plan with deductible $1,000+ (individual), $2,000+ (family), with account. Source: EBRI/Commonwealth Fund Consumerism in Health Care Survey, 2006.

THE COMMONWEALTH FUND Figure 43. Percent of Adults Whose Deductibles Apply to All Medical Services, by Coverage Source Comprehensive = health plan with no deductible or <$1,000 (individual), <$2,000 (family). HDHP = high-deductible health plan with deductible $1,000+ (individual), $2,000+ (family), no account. CDHP = consumer-driven health plan with deductible $1,000+ (individual), $2,000+ (family), with account. *Difference between HDHP/CDHP and Comprehensive is statistically significant at p 0.05 or better. Percent of privately insured adults 21–64 Source: EBRI/Commonwealth Fund Consumerism in Health Care Survey, 2006.

THE COMMONWEALTH FUND Figure 44. Annual Household Out-of-Pocket Medical Expenses, Not Including Premiums, by Type of Health Plan ComprehensiveHDHPCDHP Nothing13%15%17% $1–$ *14* $500–$ *12* $1,000–$1, $1,500–$1, $2,000–$4, * $5,000 or more823*22* Comprehensive = health plan with no deductible or <$1,000 (individual), <$2,000 (family). HDHP = high-deductible health plan with deductible $1,000+ (individual), $2,000+ (family), no account. CDHP = consumer-driven health plan with deductible $1,000+ (individual), $2,000+ (family), with account. *Difference between HDHP/CDHP and Comprehensive is statistically significant at p 0.05 or better. Source: EBRI/Commonwealth Fund Consumerism in Health Care Survey, 2006.

THE COMMONWEALTH FUND Figure 45. Annual Household Out-of-Pocket Medical Expenses, Including Premiums, by Type of Health Plan ComprehensiveHDHPCDHP Nothing3%1%*4% $1–$499135*6* $500–$99986*5* $1,000–$1, *8* $1,500–$1,999119* $2,000–$4, *31* $5,000 or more1028* Comprehensive = health plan with no deductible or <$1,000 (individual), <$2,000 (family). HDHP = high-deductible health plan with deductible $1,000+ (individual), $2,000+ (family), no account. CDHP = consumer-driven health plan with deductible $1,000+ (individual), $2,000+ (family), with account. *Difference between HDHP/CDHP and Comprehensive is statistically significant at p 0.05 or better. Source: EBRI/Commonwealth Fund Consumerism in Health Care Survey, 2006.

THE COMMONWEALTH FUND Figure 46. Percent of Household Income Spent Annually on Out-of-Pocket Medical Expenses, by Health Status and Income Comprehensive = health plan with no deductible or <$1,000 (individual), <$2,000 (family). HDHP = high-deductible health plan with deductible $1,000+ (individual), $2,000+ (family), no account. CDHP = consumer-driven health plan with deductible $1,000+ (individual), $2,000+ (family), with account. *Difference between HDHP/CDHP and Comprehensive is statistically significant at p 0.05 or better. **Health problem defined as fair or poor health or one of eight chronic health conditions. Percent of privately insured adults 21–64 spending 5% of income Total Health Problem** <$50,000 Annual Income 12 33* 29* 18 38* 23 42* 43* Source: EBRI/Commonwealth Fund Consumerism in Health Care Survey, 2006.

THE COMMONWEALTH FUND Figure 47. Percent of Household Income Spent Annually on Out-of-Pocket Medical Expenses, by Coverage Source Comprehensive = health plan with no deductible or <$1,000 (individual), <$2,000 (family). HDHP = high-deductible health plan with deductible $1,000+ (individual), $2,000+ (family), no account. CDHP = consumer-driven health plan with deductible $1,000+ (individual), $2,000+ (family), with account. *Difference between HDHP/CDHP and Comprehensive is statistically significant at p 0.05 or better. Percent of privately insured adults 21–64 spending 5% of income Total Employment-Based Individual 12 33* 29* 12 34* 30* (n=66) Source: EBRI/Commonwealth Fund Consumerism in Health Care Survey, 2006.

THE COMMONWEALTH FUND Figure 48. Percent of Household Income Spent Annually on Out-of-Pocket Medical Expenses Plus Premiums, by Health Status and Income Comprehensive = health plan with no deductible or <$1,000 (individual), <$2,000 (family). HDHP = high-deductible health plan with deductible $1,000+ (individual), $2,000+ (family), no account. CDHP = consumer-driven health plan with deductible $1,000+ (individual), $2,000+ (family), with account. *Difference between HDHP/CDHP and Comprehensive is statistically significant at p 0.05 or better. **Health problem defined as fair or poor health or one of eight chronic health conditions. Percent of privately insured adults 21–64 spending 5% of income Total Health Problem** <$50,000 Annual Income 22 44* 51* 28 55* 52* 43 64* 66* Source: EBRI/Commonwealth Fund Consumerism in Health Care Survey, 2006.

THE COMMONWEALTH FUND Figure 49. Percent of Household Income Spent Annually on Out-of-Pocket Medical Expenses Plus Premiums, by Coverage Source Comprehensive = health plan with no deductible or <$1,000 (individual), <$2,000 (family). HDHP = high-deductible health plan with deductible $1,000+ (individual), $2,000+ (family), no account. CDHP = consumer-driven health plan with deductible $1,000+ (individual), $2,000+ (family), with account. *Difference between HDHP/CDHP and Comprehensive is statistically significant at p 0.05 or better. Percent of privately insured adults 21–64 spending 5% of income Total Employment-Based Individual 22 51* 44* 21 47* 42* (n=66) Source: EBRI/Commonwealth Fund Consumerism in Health Care Survey, 2006.

THE COMMONWEALTH FUND Figure 50. Percent of Adults Who Agree That Terms of Coverage Make Them Consider Cost When Deciding to Seek Health Care Services Comprehensive = health plan with no deductible or <$1,000 (individual), <$2,000 (family). HDHP = high-deductible health plan with deductible $1,000+ (individual), $2,000+ (family), no account. CDHP = consumer-driven health plan with deductible $1,000+ (individual), $2,000+ (family), with account. *Difference between HDHP/CDHP and Comprehensive is statistically significant at p 0.05 or better. Percent of privately insured adults 21– * 73* Source: EBRI/Commonwealth Fund Consumerism in Health Care Survey, 2006.

THE COMMONWEALTH FUND Figure 51. Cost-Conscious Decision Making, by Type of Health Plan Percent of privately insured adults 21–64 who received health care in last twelve months Comprehensive = health plan with no deductible or <$1,000 (individual), <$2,000 (family). HDHP = high-deductible health plan with deductible $1,000+ (individual), $2,000+ (family), no account. CDHP = consumer-driven health plan with deductible $1,000+ (individual), $2,000+ (family), with account. *Difference between HDHP/CDHP and Comprehensive is statistically significant at p 0.05 or better. Source: EBRI/Commonwealth Fund Consumerism in Health Care Survey, 2006.

THE COMMONWEALTH FUND Figure 52. Percent of Adults Who Have Delayed or Avoided Getting Needed Health Care Due to Cost, by Health Status and Income Percent of privately insured adults 21–64 Comprehensive = health plan with no deductible or <$1,000 (individual), <$2,000 (family). HDHP = high-deductible health plan with deductible $1,000+ (individual), $2,000+ (family), no account. CDHP = consumer-driven health plan with deductible $1,000+ (individual), $2,000+ (family), with account. *Difference between HDHP/CDHP and Comprehensive is statistically significant at p 0.05 or better. **Health problem defined as fair or poor health or one of eight chronic health conditions. Source: EBRI/Commonwealth Fund Consumerism in Health Care Survey, 2006.

THE COMMONWEALTH FUND Figure 53. Percent of Adults Who Have Delayed or Avoided Getting Needed Health Care Due to Cost, by Coverage Source Percent of privately insured adults 21–64 Comprehensive = health plan with no deductible or <$1,000 (individual), <$2,000 (family). HDHP = high-deductible health plan with deductible $1,000+ (individual), $2,000+ (family), no account. CDHP = consumer-driven health plan with deductible $1,000+ (individual), $2,000+ (family), with account. *Difference between HDHP/CDHP and Comprehensive is statistically significant at p 0.05 or better. (n=66) Source: EBRI/Commonwealth Fund Consumerism in Health Care Survey, 2006.

THE COMMONWEALTH FUND Figure 54. Percent of Adults Who Have Delayed or Avoided Getting Needed Health Care Due to Cost, by Type of Care Delayed Percent of privately insured adults 21–64 Comprehensive = health plan with no deductible or <$1,000 (individual), <$2,000 (family). HDHP = high-deductible health plan with deductible $1,000+ (individual), $2,000+ (family), no account. CDHP = consumer-driven health plan with deductible $1,000+ (individual), $2,000+ (family), w/ account. *Difference between HDHP/CDHP and Comprehensive is statistically significant at p < 0.05 or better. Source: EBRI/Commonwealth Fund Consumerism in Health Care Survey, 2006.

THE COMMONWEALTH FUND Figure 55. Percent of Adults Who Have Not Filled a Prescription Due to Cost or Who Have Skipped Doses to Make a Medication Last Longer, by Health Status and Income Percent of privately insured adults 21–64 Comprehensive = health plan with no deductible or <$1,000 (individual), <$2,000 (family). HDHP = high-deductible health plan with deductible $1,000+ (individual), $2,000+ (family), no account. CDHP = consumer-driven health plan with deductible $1,000+ (individual), $2,000+ (family), with account. *Difference between HDHP/CDHP and Comprehensive is statistically significant at p 0.05 or better. **Health problem defined as fair or poor health or one of eight chronic health conditions. Source: EBRI/Commonwealth Fund Consumerism in Health Care Survey, 2006.

THE COMMONWEALTH FUND Figure 56. Percent of Adults Who Have Not Filled a Prescription Due to Cost or Who Have Skipped Doses to Make a Medication Last Longer, by Coverage Source Percent of privately insured adults 21–64 Comprehensive = health plan with no deductible or <$1,000 (individual), <$2,000 (family). HDHP = high-deductible health plan with deductible $1,000+ (individual), $2,000+ (family), no account. CDHP = consumer-driven health plan with deductible $1,000+ (individual), $2,000+ (family), with account. *Difference between HDHP/CDHP and Comprehensive is statistically significant at p 0.05 or better. (n=66) Source: EBRI/Commonwealth Fund Consumerism in Health Care Survey, 2006.

THE COMMONWEALTH FUND Figure 57. Medical Service Use, by Type of Health Plan Percent of privately insured adults 21–64 who NEVER used the following medical services in the past year Comprehensive = health plan with no deductible or <$1,000 (individual), <$2,000 (family). HDHP = high-deductible health plan with deductible $1,000+ (individual), $2,000+ (family), no account. CDHP = consumer-driven health plan with deductible $1,000+ (individual), $2,000+ (family), with account. *Difference between HDHP/CDHP and Comprehensive is statistically significant at p 0.05 or better. Source: EBRI/Commonwealth Fund Consumerism in Health Care Survey, 2006.

THE COMMONWEALTH FUND Figure 58. Preventive Care, by Type of Health Plan Percent of privately insured adults 21–64 who had the following preventive care Comprehensive = health plan with no deductible or <$1,000 (individual), <$2,000 (family). HDHP = high-deductible health plan with deductible $1,000+ (individual), $2,000+ (family), no account. CDHP = consumer-driven health plan with deductible $1,000+ (individual), $2,000+ (family), with account. *Difference between HDHP/CDHP and Comprehensive is statistically significant at p 0.05 or better. Source: EBRI/Commonwealth Fund Consumerism in Health Care Survey, 2006.

THE COMMONWEALTH FUND Figure 59. Following Treatment Regimens for Chronic Diseases Percent of privately insured adults 21–64 with chronic conditions who strongly/somewhat agree that they follow their treatment regimens very carefully Comprehensive = health plan with no deductible or <$1,000 (individual), <$2,000 (family). HDHP = high-deductible health plan with deductible $1,000+ (individual), $2,000+ (family), no account. CDHP = consumer-driven health plan with deductible $1,000+ (individual), $2,000+ (family), with account. *Difference between HDHP/CDHP and Comprehensive is statistically significant at p 0.05 or better. (n=89) (n=74) Source: EBRI/Commonwealth Fund Consumerism in Health Care Survey, 2006.

THE COMMONWEALTH FUND Figure 60. Availability and Use of Quality and Cost Information Provided by Health Plan ComprehensiveHDHPCDHP Health plan provides information on quality of care provided by: Doctors47%32%*28%* Hospitals4632*27* Health plan provides information on cost of care provided by: Doctors4027*22* Hospitals4026*22* Of those whose plans provide info on quality, how many tried to use it for: Doctors Hospitals Of those whose plans provide info on cost, how many tried to use it for: Doctors4940*36* Hospitals4534*37 Comprehensive = health plan with no deductible or <$1,000 (individual), <$2,000 (family). HDHP = high-deductible health plan with deductible $1,000+ (individual), $2,000+ (family), no account. CDHP = consumer-driven health plan with deductible $1,000+ (individual), $2,000+ (family), with account. *Difference between HDHP/CDHP and Comprehensive is statistically significant at p 0.05 or better. Source: EBRI/Commonwealth Fund Consumerism in Health Care Survey, 2006.

THE COMMONWEALTH FUND Figure 61. Effort to Find Information on Quality and Cost From Sources Other Than Health Plans ComprehensiveHDHPCDHP Tried to find information from sources other than health plans on quality of care provided by: Doctors 33%36%31% Hospitals Tried to find information from sources other than health plans on cost of care provided by: Doctors Hospitals Of those who tried to find info on quality, how many found all they needed for: Doctors 7757* Hospitals 7964*65* Of those who tried to find info on cost, how many found all they needed for: Doctors 7153*48* Hospitals 6752*49* Comprehensive = health plan with no deductible or <$1,000 (individual), <$2,000 (family). HDHP = high-deductible health plan with deductible $1,000+ (individual), $2,000+ (family), no account. CDHP = consumer-driven health plan with deductible $1,000+ (individual), $2,000+ (family), with account. *Difference between HDHP/CDHP and Comprehensive is statistically significant at p 0.05 or better. Source: EBRI/Commonwealth Fund Consumerism in Health Care Survey, 2006.

THE COMMONWEALTH FUND Figure 62. Resources Used for Health Information, by Type of Health Plan Percent of privately insured adults 21–64 who use the following resources a lot/some Comprehensive = health plan with no deductible or <$1,000 (individual), <$2,000 (family). HDHP = high-deductible health plan with deductible $1,000+ (individual), $2,000+ (family), no account. CDHP = consumer-driven health plan with deductible $1,000+ (individual), $2,000+ (family), with account. *Difference between HDHP/CDHP and Comprehensive is statistically significant at p 0.05 or better. Source: EBRI/Commonwealth Fund Consumerism in Health Care Survey, 2006.

THE COMMONWEALTH FUND Figure 63. Most Trusted Sources for Information on Health Care Providers, by Type of Health Plan Percent of privately insured adults 21–64 Comprehensive = health plan with no deductible or <$1,000 (individual), <$2,000 (family). HDHP = high-deductible health plan with deductible $1,000+ (individual), $2,000+ (family), no account. CDHP = consumer-driven health plan with deductible $1,000+ (individual), $2,000+ (family), with account. *Difference between HDHP/CDHP and Comprehensive is statistically significant at p 0.05 or better. Source: EBRI/Commonwealth Fund Consumerism in Health Care Survey, 2006.

THE COMMONWEALTH FUND Methodology The EBRI/Commonwealth Fund Consumerism in Health Care Survey, 2006 was conducted online using Synovates online sample of 1.5 million Internet users. Eligibility:Americans ages 21 to 64 with private health insurance coverage. Stratification:Gender, age, region, income, education, race/ethnicity. Final sample is nationally representative when weighted. Weighting:The national sample is weighted by gender, age, region, income, education, race/ethnicity to reflect the actual proportions in the population. Analysis Groups: Comprehensive insurance, HDHP, CDHP Sample Groups:Total sample National sample Oversample N=3,158 n=1,631 (1,506 Comprehensive, 104 HDHP, 21 CDHP) n=1,527 (826 HDHP, 701 CDHP) 1. Comprehensiven=1,506 (all from national sample) 2. HDHP samplen=930 (104 – national, 826 – oversample) 3. CDHP samplen=722 (21 – national, 701 – oversample)