Information Collection Request

Study of Factors Influencing Consumer Choices Among Health Plans and Clinicians

ICR 200909-0935-001 · OMB 0935-0161 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
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 Repair queued
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
ICR Details
0935-0161 200909-0935-001
Historical Active
HHS/AHRQ
Study of Factors Influencing Consumer Choices Among Health Plans and Clinicians
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 03/08/2010
Retrieve Notice of Action (NOA) 09/10/2009
  Inventory as of this Action Requested Previously Approved
03/31/2011 12 Months From Approved
4,950 0 0
709 0 0
0 0 0

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.

US Code: 42 USC 299 Name of Law: Healthcare Research and Quality Act of 1999
  
None

Not associated with rulemaking

  73 FR 51484 09/03/2008
74 FR 36232 07/22/2009
Yes

16
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

  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
Yes
Miscellaneous Actions
No
This is a new proposed information collection request.

$844,000
Yes Part B of Supporting Statement
No
Uncollected
Uncollected
No
Uncollected
Doris Lefkowitz 3014271477

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
09/10/2009