Final Evaluation Report for Uniformed Services Family Health Plan Continuous Open Enrollment Book

Contents
Preface
Tables
Summary
Acknowledgments
1. INTRODUCTION
2. BACKGROUND
USFHP Program Overview
USFHP Payment Process
Enrollment Policies
3. PURPOSE OF EVALUATION
4. METHODS
Secondary Data on USFHP Sites
Interviews
Site Visits
Enrollment Data
Focus Groups
Claims and Encounter Data
5. FINDINGS
USFHP Program Operations
Health Insurance Market Environment
Continuous Open Enrollment and
Marketing Activities
Enrollment - Focus Group Findings
Enrollment - Analysis of Enrollment Data
Adverse Selection
6. CONCLUSIONS
Consequences and Costs for
Beneficiaries
Consequences and Costs for DoD
Consequences and Costs for USFHP
Limitations
Recommendations
Appendix
A. INTEND
ED ANALYSES OF HEALTH CARE USE AND
COSTS
B. ORGANIZATION AND DELIVERY OF CARE AT
USFHP DEMONSTRATION SITES
C. MEDICARE MANAGED-CARE MARKET IN USFHP
DEMONSTRATION SITES
D. USFHP MARKETING
E. SAMPLE USFHP FOCUS GROUP RECRUITMENT
LETTER, ENROLLEES
F. SAMPLE USFHP FOCUS GROUP RECRUITMENT
LETTER, NON-ENROLLEES
G. SAMPLE USFHP FOCUS GROUP CONFIRMATION
LETTER, ENROLLEES
H. SAMPLE USFHP FOCUS GROUP CONFIRMATION
LETTER, ELIGIBLES
I. USFHP ENROLLED FOCUS GROUP INTERVIEW
GUIDE
J. MAPS OF DEMONSTRATION AREAS