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August 2019
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Presenting Cost and Efficiency Measures That Support Consumers to Make HighValue Health Care Choices

Objective: To identify approaches to presenting cost and resource use measures that support consumers in selecting highvalue hospitals.

Data Sources: Survey data were collected from U.S. employees of Analog Devices (n = 420).

Study Design: In two online experiments, participants viewed comparative data on four hospitals. In one experiment, participants were randomized to view one of five versions of the same comparative cost data, and in the other experiment they viewed different versions of the same readmissions data. Bivariate and multivariate analyses examined whether presentation approach was related to selecting the highvalue hospital.

Principal Findings: Consumers were approximately 16 percentage points more likely to select a highvalue hospital when cost data were presented using actual dollar amounts or using the word “affordable” to describe lowcost hospitals, compared to when the Hospital Compare spending ratio was used. Consumers were 33 points more likely to select the highest performing hospital when readmission performance was shown using word icons rather than percentages.

Conclusions: Presenting cost and resource use measures effectively to consumers is challenging. This study suggests using actual dollar amounts for cost, but presenting performance on readmissions using evaluative symbols.

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