Medicare Part D is the part of Medicare that covers prescription medicines. People who enroll in Medicare Part D coverage must choose a plan. But choosing among plans can be hard, and people may not always make an informed choice.
In this study, the research team created a decision aid called CHOICE. Decision aids help people choose among healthcare options based on what is most important to them. The CHOICE website gave people personalized information to help them choose a plan.
The research team compared three ways of helping people choose:
Users of CHOICE with expert advice switched plans more often and were happier with the process than people who got only publicly available plan information. People in the CHOICE only and public information groups did not differ in plan switching or happiness with the process. Users of CHOICE both with and without expert advice spent more time choosing a plan than people who got publicly available plan information.
The three groups did not differ in
The study included 928 people ages 66–85 with Medicare who received care from a health system in California. Of these, 80 percent were white, and 8 percent were Asian. The average age was 72, and 50 percent were women. The median household income in the areas where people in the study lived was a little over $113,000.
The study took place in Fall 2016 when people were choosing a plan for 2017. After enrolling people in the study, the research team assigned them by chance to one of the three ways to help people pick a plan.
People took surveys at the start and end of the study. The surveys asked
Older adults with Medicare, a caregiver, a pharmacist, and medical foundation staff gave input on the CHOICE website. They also helped with recruitment.
People in the study lived in areas where many people have high incomes. Results may differ for people on Medicare who live in low-income areas.
Future research could study people’s satisfaction with plans chosen using the CHOICE website over the long term.
Groups that help people enroll in Medicare could use these results when considering whether to offer a decision aid like CHOICE to help people choose a Part D plan.