Self-reported satisfaction of enrollees in capitated and fee-for-service dental benefit plans.
BACKGROUND
This article examines the impact of capitated, or CAP, and fee-for-service, or FFS, dental benefit plans on the enrollees' satisfaction with their plans and their satisfaction with their dentists.


METHODS
The authors selected four dental markets: California, New Jersey, Michigan and North Carolina. Eight Fortune 500 companies participated. Enrollees were selected randomly and interviewed about their experiences with their dental plans. The sample consisted of 2,340 respondents, of whom 42.3 percent were enrolled in CAP plans and 57.7 percent in FFS plans.


RESULTS
The major findings were that those enrolled in FFS plans were four times more likely to be very satisfied than dissatisfied with their dental plans than were those in CAP plans. The FFS plan enrollees were 16 times more likely to be very satisfied than dissatisfied with their dentists than were those in CAP plans.


CONCLUSIONS
Enrollees generally were satisfied with their plans and their dentists but those in FFS plans were the most satisfied. The higher the premium paid, the higher the level of satisfaction.


CONCLUSIONS
Enrollees with perceived unmet needs were less satisfied with their dental benefit plans and dentists. Taking care of needs is the most significant thing dentists can do to affect patients' satisfaction.
Coulter
Ian D
ID
RAND, Santa Monica, CA, USA. iancoul@bigpond.com
Freed
James R
JR
Marcus
Marvin
M
Der-Martirosian
Claudia
C
Guzman-Becerra
Norma
N
Guay
Albert H
AH
Brown
L Jackson
LJ
D000704:Analysis of Variance; D002140:California; D002204:Capitation Fee; D003258:Consumer Behavior / Q000706:statistics & numerical data*; D003812:Dentist-Patient Relations; D018588:Fee-for-Service Plans; D006801:Humans; D007343:Insurance Carriers; D007347:Insurance, Dental; D016015:Logistic Models; D008824:Michigan; D009515:New Jersey; D009657:North Carolina; D011795:Surveys and Questionnaires