Evidence map›Paper›PMID 28804780›Full record

ArticleMDM policy & practice2016

Show Me My Health Plans: Using a Decision Aid to Improve Decisions in the Federal Health Insurance Marketplace.

Mary C Politi, Marie D Kuzemchak, Jingxia Liu, Abigail R Barker, Ellen Peters, Peter A Ubel, Kimberly A Kaphingst, Timothy McBride, Matthew W Kreuter, Enbal Shacham and 1 more

Registry-linked trialAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in MDM policy & practice, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03592433 (Supporting Cancer Survivors' Health Insurance Marketplace Decisions), which is not on this map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03592433 nacompletednot on this mapstarted 2018, after this paper: background citation

Supporting Cancer Survivors' Health Insurance Marketplace Decisions

TypeinterventionalSponsorWashington University School of MedicineRan2018 to 2019Enrolled263ConditionsCancer, Health Literacy, Health Insurance, Health Services AccessibilityArmsI Can PIC
3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Insights on Improving Health Insurance Literacy in Diabetes.The Journal of clinical endocrinology and metabolism · 2025
    Review
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  16. Article
  17. Medicare for All: A Health Insurance Literacy Perspective.Health literacy research and practice · 2021
    Article
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  19. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Mary C PolitiDivision of Public Health Sciences, Department of Surgery, Washington University in St. Louis School of Medicine, St. Louis, Missouri (MCP, MDK, JL, SEP); Brown School of Social Work, Washington University in St. Louis, St. Louis, Missouri (ARB, TM, MWK); Department of Psychology, Ohio State University, Columbus, Ohio (EP); Fuqua School of Business, Sanford School of Public Policy, and School of Medicine, Duke University, Durham, North Carolina (PAU); Department of Communication, University of Utah, Salt Lake City, Utah (KAK); and College for Public Health and Social Justice, Saint Louis University, St. Louis, Missouri (ES).
Marie D KuzemchakDivision of Public Health Sciences, Department of Surgery, Washington University in St. Louis School of Medicine, St. Louis, Missouri (MCP, MDK, JL, SEP); Brown School of Social Work, Washington University in St. Louis, St. Louis, Missouri (ARB, TM, MWK); Department of Psychology, Ohio State University, Columbus, Ohio (EP); Fuqua School of Business, Sanford School of Public Policy, and School of Medicine, Duke University, Durham, North Carolina (PAU); Department of Communication, University of Utah, Salt Lake City, Utah (KAK); and College for Public Health and Social Justice, Saint Louis University, St. Louis, Missouri (ES).
Jingxia LiuDivision of Public Health Sciences, Department of Surgery, Washington University in St. Louis School of Medicine, St. Louis, Missouri (MCP, MDK, JL, SEP); Brown School of Social Work, Washington University in St. Louis, St. Louis, Missouri (ARB, TM, MWK); Department of Psychology, Ohio State University, Columbus, Ohio (EP); Fuqua School of Business, Sanford School of Public Policy, and School of Medicine, Duke University, Durham, North Carolina (PAU); Department of Communication, University of Utah, Salt Lake City, Utah (KAK); and College for Public Health and Social Justice, Saint Louis University, St. Louis, Missouri (ES).
Abigail R BarkerDivision of Public Health Sciences, Department of Surgery, Washington University in St. Louis School of Medicine, St. Louis, Missouri (MCP, MDK, JL, SEP); Brown School of Social Work, Washington University in St. Louis, St. Louis, Missouri (ARB, TM, MWK); Department of Psychology, Ohio State University, Columbus, Ohio (EP); Fuqua School of Business, Sanford School of Public Policy, and School of Medicine, Duke University, Durham, North Carolina (PAU); Department of Communication, University of Utah, Salt Lake City, Utah (KAK); and College for Public Health and Social Justice, Saint Louis University, St. Louis, Missouri (ES).
Ellen PetersDivision of Public Health Sciences, Department of Surgery, Washington University in St. Louis School of Medicine, St. Louis, Missouri (MCP, MDK, JL, SEP); Brown School of Social Work, Washington University in St. Louis, St. Louis, Missouri (ARB, TM, MWK); Department of Psychology, Ohio State University, Columbus, Ohio (EP); Fuqua School of Business, Sanford School of Public Policy, and School of Medicine, Duke University, Durham, North Carolina (PAU); Department of Communication, University of Utah, Salt Lake City, Utah (KAK); and College for Public Health and Social Justice, Saint Louis University, St. Louis, Missouri (ES).
Peter A UbelDivision of Public Health Sciences, Department of Surgery, Washington University in St. Louis School of Medicine, St. Louis, Missouri (MCP, MDK, JL, SEP); Brown School of Social Work, Washington University in St. Louis, St. Louis, Missouri (ARB, TM, MWK); Department of Psychology, Ohio State University, Columbus, Ohio (EP); Fuqua School of Business, Sanford School of Public Policy, and School of Medicine, Duke University, Durham, North Carolina (PAU); Department of Communication, University of Utah, Salt Lake City, Utah (KAK); and College for Public Health and Social Justice, Saint Louis University, St. Louis, Missouri (ES).
Kimberly A KaphingstDivision of Public Health Sciences, Department of Surgery, Washington University in St. Louis School of Medicine, St. Louis, Missouri (MCP, MDK, JL, SEP); Brown School of Social Work, Washington University in St. Louis, St. Louis, Missouri (ARB, TM, MWK); Department of Psychology, Ohio State University, Columbus, Ohio (EP); Fuqua School of Business, Sanford School of Public Policy, and School of Medicine, Duke University, Durham, North Carolina (PAU); Department of Communication, University of Utah, Salt Lake City, Utah (KAK); and College for Public Health and Social Justice, Saint Louis University, St. Louis, Missouri (ES).
Timothy McBrideDivision of Public Health Sciences, Department of Surgery, Washington University in St. Louis School of Medicine, St. Louis, Missouri (MCP, MDK, JL, SEP); Brown School of Social Work, Washington University in St. Louis, St. Louis, Missouri (ARB, TM, MWK); Department of Psychology, Ohio State University, Columbus, Ohio (EP); Fuqua School of Business, Sanford School of Public Policy, and School of Medicine, Duke University, Durham, North Carolina (PAU); Department of Communication, University of Utah, Salt Lake City, Utah (KAK); and College for Public Health and Social Justice, Saint Louis University, St. Louis, Missouri (ES).
Matthew W KreuterDivision of Public Health Sciences, Department of Surgery, Washington University in St. Louis School of Medicine, St. Louis, Missouri (MCP, MDK, JL, SEP); Brown School of Social Work, Washington University in St. Louis, St. Louis, Missouri (ARB, TM, MWK); Department of Psychology, Ohio State University, Columbus, Ohio (EP); Fuqua School of Business, Sanford School of Public Policy, and School of Medicine, Duke University, Durham, North Carolina (PAU); Department of Communication, University of Utah, Salt Lake City, Utah (KAK); and College for Public Health and Social Justice, Saint Louis University, St. Louis, Missouri (ES).
Enbal ShachamDivision of Public Health Sciences, Department of Surgery, Washington University in St. Louis School of Medicine, St. Louis, Missouri (MCP, MDK, JL, SEP); Brown School of Social Work, Washington University in St. Louis, St. Louis, Missouri (ARB, TM, MWK); Department of Psychology, Ohio State University, Columbus, Ohio (EP); Fuqua School of Business, Sanford School of Public Policy, and School of Medicine, Duke University, Durham, North Carolina (PAU); Department of Communication, University of Utah, Salt Lake City, Utah (KAK); and College for Public Health and Social Justice, Saint Louis University, St. Louis, Missouri (ES).
Sydney E PhilpottDivision of Public Health Sciences, Department of Surgery, Washington University in St. Louis School of Medicine, St. Louis, Missouri (MCP, MDK, JL, SEP); Brown School of Social Work, Washington University in St. Louis, St. Louis, Missouri (ARB, TM, MWK); Department of Psychology, Ohio State University, Columbus, Ohio (EP); Fuqua School of Business, Sanford School of Public Policy, and School of Medicine, Duke University, Durham, North Carolina (PAU); Department of Communication, University of Utah, Salt Lake City, Utah (KAK); and College for Public Health and Social Justice, Saint Louis University, St. Louis, Missouri (ES).

Funding

SUPPORTING DECISIONS ABOUT HEALTH INSURANCE TO IMPROVE CARE FOR THE UNINSUREDR01MD008808 · NIMHD · WASHINGTON UNIVERSITY · PI POLITI, MARY C · 2014 to 2016
$1.1M
NIMHD NIH HHS R01 MD008808
6 · The paper itself

Abstract

introductionSince the Affordable Care Act was passed, more than 12 million individuals have enrolled in the health insurance marketplace. Without support, many struggle to make an informed plan choice that meets their health and financial needs.

methodsWe designed and evaluated a decision aid, Show Me My Health Plans (SMHP), that provides education, preference assessment, and an annual out-of-pocket cost calculator with plan recommendations produced by a tailored, risk-adjusted algorithm incorporating age, gender, and health status. We evaluated whether SMHP compared to HealthCare.gov improved health insurance decision quality and the match between plan choice, needs, and preferences among 328 Missourians enrolling in the marketplace.

resultsParticipants who used SMHP had higher health insurance knowledge (LS-Mean = 78 vs. 62; P < 0.001), decision self-efficacy (LS-Mean = 83 vs. 75; P < 0.002), confidence in their choice (LS-Mean = 3.5 vs. 2.9; P < 0.001), and improved health insurance literacy (odds ratio = 2.52, P <0.001) compared to participants using HealthCare.gov. Those using SMHP were 10.3 times more likely to select a silver- or gold-tier plan (P < 0.0001). DISCUSSION: SMHP can improve health insurance decision quality and the odds that consumers select an insurance plan with coverage likely needed to meet their health needs. This study represents a unique context through which to apply principles of decision support to improve health insurance choices.

Indexed as

decision aidshealth literacypublic healthshared decision makingvulnerable populations

Identifiers

PMID28804780
PMCPMC5550739

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.