Figure 3 HDHP Enroll The 2022 Co ee Sa nsume tis r En faction Increases gagement in Health Wit Care Sur h Time on Th vey was an o eir Health Pl nline survey of 2 an ,015 Americans ages 21 – Comparison of Satisfaction in 2021 and 2022, by Health Plan Type 64 with private health insurance coverage. It was fielded in October and November of 2022. The survey is Traditional Plan 2021 Traditional Plan 2022 High-Deductible Health Plan 2021 High-Deductible Health Plan 2022 However, notably, satisfaction levels among HDHP enrollees almost doubled when tenure with their health plan made possible with funding support from the following organizations: Blue Cross Blue Shield Association, 70% went Hea frolth m les Equi s th tyan o , Millen ne yni ear to um Tru three st Co or mpany more y , S ears egal, . The p TIAA, UMB ercentage rep Finan ortin cial, and g that th Voy 66% ey a Fin wereancial. extrem ely or very April 6, 2023, #463 63% 63% satisfied with their HDHP increased from 32 percent to 58 percent. In contrast, among traditional plan enrollees, 59% satisfaction increased from 56 percent to 71 percent (Figure 2). The Emplo 60% yee Benefit Research Institute is a private, nonpartisan, and nonprofit research institute based in Washington, D.C., that focuses on health, savings, retirement, and economic security issues. EBRI does not lobby 52% and does not take policy positions. The work of EBRI is made possible by funding from its members and What Leads to Greater Satisfaction 50% 47% sponsors, which include a broad range of public and private organizations. For more information, visit 44% www.ebri.org. With Health Plan Coverage? Figure 2 39% 40% Overall Satisfaction With Health Care Plan Increases With Time in Plan Greenwald Research is a leading independent custom research firm and consulting partner to the health and Overall satisfaction with health coverage is lower among high-deductible health plan (HDHP) participants than wealth industries that applies creative quantitative and qualitative methods to help companies stay competitive 80% <1 Year 1 –2 Years 3 or More Years among traditional plan enrollees. Lack of experience with their health coverage may account — at least in part — and navig 30% ate industry change. Leveraging deep subject matter expertise and a consultative approach, Greenwald for this difference. Higher out-of-pocket costs may also contribute to the difference in satisfaction, but other 71% offers comprehensive services to answer strategic business questions. For more information, go to disconnects exist. 70% www.greenwaldresearch.com 20% According to findings of the Employee Benefit Research Institute (EBRI)/Greenwald Research Consumer 60% 58% 60% ### Engagement in Health Care Survey, two-thirds (66 percent) of traditional plan enrollees were extremely or very 56% satisfied with their overall health plan, compared with 52 percent of HDHP enrollees. 10% 50% Part of the difference in satisfaction appears to be due to out-of-pocket spending for prescription drugs and 44% 0% medical services. Sixty-three percent of traditional plan enrollees were satisfied with the cost they pay for The Cost I Pay out of My Own Pocket for My Overall Satisfaction With My Health Care Plan 40% prescription drugs, and 57 percent were satisfied with the cost they pay for other health care services. In contrast, Prescription Drugs only 47 percent of HDHP enrollees were satisfied with what they pay for prescription drugs, and only 35 percent 32% Source: EBRI/Greenwald Research Consumer Engagement in Health Care Survey, 2022. were satisfied with the cost they pay for other health care services. 30% Figure 4 There was no notable difference in satisfaction between traditional and HDHP enrollees with respect to quality of 20% Satisfaction With Number of Plan Choices, and Number of Plan care received, ease of getting appointments, or choice of doctor (Figure 1). Choices, by Health Plan Type 70% Figure 1 10% Traditional High-Deductible Health Plan Cost Aspects Drive Differences in Satisfaction Between Traditional 59% 60% Plan and High-Deductible Health Plan Enrollees 0% Traditional Plan High-Deductible Health Plan Traditional High-Deductible Health Plan 50% 69% 50% My Choice of Doctors Source: EBRI/Greenwald Research Consumer Engagement in Health Care Survey, 2022. 68% 66% Overall Satisfaction With My Health Care Plan 40% 52% 36% 66% Quality of Health Care I Receive Through My Plan 29% 29% 62% 30% Yet, satisfaction levels have been increasing among both traditional plan and HDHP enrollees. It is interesting 25% 25% that satisfaction levels are increasing faster among HDHP enrollees (Figure 3). The Cost I Pay out of My Own Pocket for My 63% Prescription Drugs 47% 20% 17% There is another disconnect when it comes to respondent answers. High-deductible health plan (HDHP) enrollees 13% 63% Overall Experience With Carrier were more likely than traditional plan enrollees to report that they had a choice of health 11% plan. Twenty-nine 52% 10% percent of HDHP enrollees reported that they had three health plans to choose from, compared with 17 percent Ease of Getting an Appointment With a Doctor 61% among traditional plan enrollees. Yet, HDHP enrollees were less likely than traditional plan enrollees to be 3% 3% When Needed 59% extremely or very satisfied with the number of health plans they were offered during open enrollment (Figure 4). 0% Extremely/Very No Choice Choice of 2 Plans Choice of 3 Plans Choice of 4 or More Have a Choice, but The Cost I Pay out of My Own Pocket for My Other 57% Satisfied With Plans Don't Know How Health Care 35% More information about the EBRI/Greenwald Research Consumer Engagement in Health Care Survey can be Number of Health Many Plans Plans found online. 0% 10% 20% 30% 40% 50% 60% 70% 80% Source: EBRI/Greenwald Research Consumer Engagement in Health Care Survey, 2022. Source: EBRI/Greenwald Research Consumer Engagement in Health Care Survey, 2022. EBRI on Twitter @EBRI or twitter.com/EBRI LinkedIn: linkedin.com/company/employee-benefit-research-institute E E EBRI BRI BRI o o on n n T T Tw w wi i it t tt t ter: er: er: @ @ @E E EBRI BRI BRI o o or r r t t tw w wi i it t tt t ter.c er.c er.co o om m m/ / /E E EBRI BRI BRI L L Li i in n nk k ke e ed d dI I In n n: : : l l li i in n nk k ke e ed d di i in n n.c .c .co o om/ m/ m/co co comp mp mpa a an n ny y y/ / /emp emp empl l lo o oy y ye e ee e e- - -b b ben en ene e efi fi fit t t- - -re re res s search earch earch- - -i i in n ns s st t ti i it t tu u ut t te e e © 2023, Employee Benefit Research Institute, 901 D St. SW, Suite 802, Washington, DC 20024, 202/659-0670 | ebri.org 3 2 4