Study of Factors Influencing Consumer Choices Among Health Plans and Clinicians

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form Form #16 Health Plan Choice Experiment -- Experimental Arm #5 Post-test	Form and Instruction	New	Available
Form Form #15 Health Plan Choice Experiment -- Experimental Arm #4 Post-test	Form and Instruction	New	Available
Form Form #14 Health Plan Choice Experiment -- Experimental Arm #3 Post-test	Form and Instruction	New	Available
Form Form #13 Health Plan Choice Experiment -- Experimental Arm #2 Post-test	Form and Instruction	New	Available
Form Form #12 Health Plan Choice Experiment -- Experimental Arm #1 Post-test	Form and Instruction	New	Available
Form Form #11 Health Plan Choice Experiment -- Baseline/Control Arm Post-test	Form and Instruction	New	Available
Form Form #10 Health Plan Choice Experiment -- Experimental Website	Form and Instruction	New	Available
Form Form #9 Health Plan Choice Experiment -- Pretest	Form and Instruction	New	Available
Form Form #8 Clinician Choice Experiment -- Experimental Arm #5 Post-test	Form and Instruction	New	Available
Form Form #7 Clinician Choice Experiment -- Experimental Arm #4 Post-test	Form and Instruction	New	Available
Form Form #6 Clinician Choice Experiment -- Experimental Arm #3 Post-test	Form and Instruction	New	Available
Form Form #5 Clinician Choice Experiment -- Experimental Arm #2 Post-test	Form and Instruction	New	Available
Form Form #4 Clinician Choice Experiment -- Experimental Arm #1 Post-test	Form and Instruction	New	Available
Form Form #3 Clinician Choice Experiment -- Baseline/Control Arm Post-test	Form and Instruction	New	Available
Form Form #2 Clinician Choice Experiment -- Experimental Website	Form and Instruction	New	Available
Form Form #1 Clinician Choice Experiment -- Pretest	Form and Instruction	New	Available
Attachment W -- Distribution of CAHPS and HEDIS Scores and Anecdote Assignment.doc	Supplementary Document	Uploaded 2010-03-08	Available
Attachment X -- Anecdote Construction.doc	Supplementary Document	Uploaded 2010-03-08	Available
Attachment Y -- Outcome and Process Variables .doc	Supplementary Document	Uploaded 2010-03-08	Available
KN Informed Consent_v5(2).doc	Supplementary Document	Uploaded 2010-03-08	Available
KN Confidentiality and Privacy Protections Doc for IRBs.doc	Supplementary Document	Uploaded 2010-03-08	Available
Supporting Statement Part B -- Consumer Choice Study 12 21 09.doc	Supporting Statement B	Uploaded 2010-03-08	Available
Attachment V -- Response to Public Comments from the ANA and HPNA.doc	Supplementary Document	Uploaded 2009-08-27	Available
Attachment U -- Public Comments from the ANA and HPNA.pdf	Supplementary Document	Uploaded 2009-08-27	Available
Attachment D - Health Plan Experiment Invitation.doc	Supplementary Document	Uploaded 2009-08-03	Available
Attachment C - Clinician Choice Experiment Invitation.doc	Supplementary Document	Uploaded 2009-08-03	Available
Attachment A -- Healthcare Research and Quality Act of 1999.pdf	Supplementary Document	Uploaded 2009-08-03	Available
Attachment T -- 30 Day FRN -- Study of Factors Influencing Consumer Choice Among Health Plans & Clinicians.pdf	Supplementary Document	Uploaded 2009-08-03	Available
Supporting Statement Part A -- Consumer Choice Study 12 18 09.pdf	Supporting Statement A	Uploaded 2010-03-08	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
190616	Health Plan Choice Experiment -- Experimental Arm #5 Post-test	Form and Instruction	New
190615	Health Plan Choice Experiment -- Experimental Arm #4 Post-test	Form and Instruction	New
190614	Health Plan Choice Experiment -- Experimental Arm #3 Post-test	Form and Instruction	New
190613	Health Plan Choice Experiment -- Experimental Arm #2 Post-test	Form and Instruction	New
190612	Health Plan Choice Experiment -- Experimental Arm #1 Post-test	Form and Instruction	New
190611	Health Plan Choice Experiment -- Baseline/Control Arm Post-test	Form and Instruction	New
190610	Health Plan Choice Experiment -- Experimental Website	Form and Instruction	New
190609	Health Plan Choice Experiment -- Pretest	Form and Instruction	New
190608	Clinician Choice Experiment -- Experimental Arm #5 Post-test	Form and Instruction	New
190607	Clinician Choice Experiment -- Experimental Arm #4 Post-test	Form and Instruction	New
190606	Clinician Choice Experiment -- Experimental Arm #3 Post-test	Form and Instruction	New
190605	Clinician Choice Experiment -- Experimental Arm #2 Post-test	Form and Instruction	New
190604	Clinician Choice Experiment -- Experimental Arm #1 Post-test	Form and Instruction	New
190603	Clinician Choice Experiment -- Baseline/Control Arm Post-test	Form and Instruction	New
190602	Clinician Choice Experiment -- Experimental Website	Form and Instruction	New
190601	Clinician Choice Experiment -- Pretest	Form and Instruction	New

ICR Details

OMB Control No: 0935-0161	ICR Reference No: 200909-0935-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/AHRQ	Agency Tracking No:
Title: Study of Factors Influencing Consumer Choices Among Health Plans and Clinicians
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 03/08/2010
	Date Received in OIRA: 09/10/2009
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2011	12 Months From Approved
Responses	4,950	0	0
Time Burden (Hours)	709	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This study will use an experimental design to determine factors that influence consumer understanding and use of performance information to select among health plans and clinicians. It will include two parallel experiments, one designed to assess factors influencing choice of health plans and one designed to assess factors influencing choice of individual doctors. Respondents will be randomly assigned to one of six arms that vary according to the type and complexity of performance information and the size of the choice set (number of plans or doctors) included in the Web report.

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Authorizing Statute(s): US Code: 42 USC 299 Name of Law: Healthcare Research and Quality Act of 1999
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 51484	09/03/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 36232	07/22/2009
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 16

table that charts list of burden

IC Title	Form No.	Form Name
Clinician Choice Experiment -- Pretest	Form #1	Pretest
Clinician Choice Experiment -- Experimental Website	Form #2	Experimental Website
Clinician Choice Experiment -- Baseline/Control Arm Post-test	Form #3	Baseline/Control Arm Post-test
Clinician Choice Experiment -- Experimental Arm #1 Post-test	Form #4	Experimental Arm #1 Post-test
Clinician Choice Experiment -- Experimental Arm #2 Post-test	Form #5	Experimental Arm #2 Post-test
Clinician Choice Experiment -- Experimental Arm #3 Post-test	Form #6	Experimental Arm #3 Post-test
Clinician Choice Experiment -- Experimental Arm #4 Post-test	Form #7	Experimental Arm #4 Post-test
Clinician Choice Experiment -- Experimental Arm #5 Post-test	Form #8	Experimental Arm #5 Post-test
Health Plan Choice Experiment -- Pretest	Form #9	Pretest
Health Plan Choice Experiment -- Experimental Website	Form #10	Experimental Website
Health Plan Choice Experiment -- Baseline/Control Arm Post-test	Form #11	Baseline/Control Arm Post-test
Health Plan Choice Experiment -- Experimental Arm #1 Post-test	Form #12	Experimental Arm #1 Post-test
Health Plan Choice Experiment -- Experimental Arm #2 Post-test	Form #13	Experimental Arm #2 Post-test
Health Plan Choice Experiment -- Experimental Arm #3 Post-test	Form #14	Experimental Arm #3 Post-test
Health Plan Choice Experiment -- Experimental Arm #4 Post-test	Form #15	Experimental Arm #4 Post-test
Health Plan Choice Experiment -- Experimental Arm #5 Post-test	Form #16	Experimental Arm #5 Post-test

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	4,950	0	0	4,950	0	0
Annual Time Burden (Hours)	709	0	0	709	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new proposed information collection request.

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Annual Cost to Federal Government: $844,000

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 09/10/2009

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