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Letters |5 August 2014

The Experience of Young Adults on HealthCare.gov: Suggestions for Improvement

Charlene A. Wong, MD; David A. Asch, MD, MBA; Cjloe M. Vinoya, BS; Carol A. Ford, MD; Tom Baker, JD; Robert Town, PhD; Raina M. Merchant, MD, MSHP

Article, Author, and Disclosure Information
Author, Article, and Disclosure Information
  • From University of Pennsylvania; The Children's Hospital of Philadelphia; Leonard Davis Institute of Health Economics, Wharton School, University of Pennsylvania; Center for Health Equity Research and Promotion, Philadelphia Veterans Affairs Medical Center; and University of Pennsylvania School of Law, Philadelphia, Pennsylvania.

    Presented in part at the Second Annual Health Insurance Marketplace Conference, Philadelphia, Pennsylvania, 11 April 2014.

    Acknowledgment: The authors thank Judy Shea, PhD (Division of General Internal Medicine, University of Pennsylvania), and Shimrit Keddem, MS (Mixed Methods Research Lab, University of Pennsylvania), for their technical contributions to the qualitative methods of this study and Young Involved Philadelphia, a local civic engagement organization of young adults, for their assistance in study recruitment.

    Financial Support: By the Leonard Davis Institute Health Insurance Exchange Research Group and the Robert Wood Johnson Foundation Clinical Scholars Program, both at the University of Pennsylvania. The funding sources were not involved with the design and conduct of the study; collection, management, analysis, and interpretation of the data; or preparation, review, or approval of the manuscript.

    Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=L14-0287.

    This article was published online first at www.annals.org on 8 July 2014.

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Background: Young adults comprise a large percentage of uninsured persons (1). Efforts to insure more young adults were widespread during the Patient Protection and Affordable Care Act's first open enrollment period for the health insurance marketplace.
Objective: To elicit reactions and feedback from young adults on ways to improve the HealthCare.gov insurance selection process.
Methods: We observed 33 highly educated young adults, aged 19 to 30 years, navigating the HealthCare.gov Web site in Philadelphia, Pennsylvania, between January and March 2014. As they made decisions about health insurance, they explained their thinking in real time. We interviewed participants about their impressions and suggestions for improvement.
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Wong CA, Asch DA, Vinoya CM, Ford CA, Baker T, Town R, et al. The Experience of Young Adults on HealthCare.gov: Suggestions for Improvement. Ann Intern Med. ;161:231–232. doi: 10.7326/L14-0287

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Published: Ann Intern Med. 2014;161(3):231-232.

DOI: 10.7326/L14-0287

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Print ISSN: 0003-4819 | Online ISSN: 1539-3704

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