A Randomized Trial Examining Three Strategies for Supporting Health Insurance Decisions among the Uninsured

Abstract

Those developing materials about the health insurance marketplace to support health insurance decisions might consider starting with plain language tables, presenting health insurance terminology in context, and organizing information according to ways the uninsured might use and value insurance features. Individuals with limited health literacy and numeracy skills and those with lower education face unique challenges selecting health insurance and weighing tradeoffs between cost and coverage.

Feasibility of Picture-Based Asthma Medication Plans in Urban Pediatric Outpatient Clinics

“…First, groups were split based on parental health literacy levels according to a conventional cut point 21,22 : ‡9th grade literacy level (n = 64) versus <9th grade literacy level (n = 15). Two sample t-tests and chi-square tests were conducted comparing these groups on demographics and asthma control (percentage with well-controlled asthma).…”

Les pratiques et les compétences des adultes en numératie

“…Les résultats d'une série d'études suggèrent plus généralement que la numératie peut avoir un rôle à jouer dans la compréhension de l'information liée à la santé (Pires, Vigário et Cavaco, 2016 [47] ). La compréhension du risque est moindre chez les personnes ayant un faible niveau de numératie, comparativement aux personnes ayant un niveau plus élevé, indépendamment du format mathématique (fréquence vs pourcentage) utilisé pour présenter l'information (Sinayev et al, 2015 [48] ).…”

Young Adults Changing Insurance Status: Gaps in Health Insurance Literacy

“…Materials supporting health insurance decisions can help users choose plans that align with their preferences, and individual preferences for engaging with health information are influenced by levels of health literacy, numeracy skills, and education status [30][31][32][33]. The U.S. Department of Health and Human Services identified certain populations, including racial and ethnic groups other than White, nonnative English speakers, people with less than a high school degree, and people with incomes at or below the poverty level, as more likely to experience limited health literacy, including understanding health insurance [34].…”