Journal article
Implementation Matters: Lessons From Iowa Medicaid's Healthy Behaviors Program
Health affairs Web exclusive, Vol.39(5), pp.884-891
05/2020
DOI: 10.1377/hlthaff.2019.01302
PMID: 32364850
Abstract
Iowa's Medicaid expansion includes the Healthy Behaviors Program (HBP), which incentivizes enrollees to receive a wellness exam and complete a health risk assessment annually to waive a monthly premium. We conducted a telephone survey with enrollees to examine their awareness and understanding of the HBP, and we then merged the survey data with claims data to examine factors associated with the completion of program requirements. As found in previous research, awareness of the HBP remains low, with approximately half of respondents unaware of the program or the premium requirement. Our results suggest that four years after the program was implemented, requirements are not being effectively communicated to enrollees. When designing and implementing such programs, policy makers should note that they are unlikely to succeed without consideration of how the program is structured and promoted. Limited program awareness is likely to result in low participation and consequences related to paying premiums or being disenrolled.
Details
- Title: Subtitle
- Implementation Matters: Lessons From Iowa Medicaid's Healthy Behaviors Program
- Creators
- Natoshia M Askelson - Natoshia M. Askelson ( natoshia-askelson@uiowa. edu ) is an assistant professor in the Department of Community and Behavioral Health and a research fellow at the Public Policy Center, University of Iowa, in Iowa CityBrad Wright - Brad Wright is an associate professor in the Department of Family Medicine and codirector of the Health Care Economics and Finance Program at the Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel HillPatrick J Brady - Patrick J. Brady is a graduate research assistant in the Department of Community and Behavioral Health, University of IowaYoun Soo Jung - Youn Soo Jung is a research associate at the Public Policy Center, University of IowaElizabeth T Momany - Elizabeth T. Momany is a senior research scientist at the Public Policy Center, University of IowaBrooke McInroy - Brooke McInroy is a research associate at the Public Policy Center, University of IowaPeter Damiano - Peter Damiano is a professor in the Department of Preventive and Community Dentistry, College of Dentistry, and director of the Public Policy Center, University of Iowa
- Resource Type
- Journal article
- Publication Details
- Health affairs Web exclusive, Vol.39(5), pp.884-891
- DOI
- 10.1377/hlthaff.2019.01302
- PMID
- 32364850
- NLM abbreviation
- Health Aff (Millwood)
- ISSN
- 0278-2715
- eISSN
- 1544-5208
- Language
- English
- Date published
- 05/2020
- Academic Unit
- Preventive and Community Dentistry; Health Management and Policy; Injury Prevention Research Center; Public Policy Center (Archive); Community and Behavioral Health; University College Courses
- Record Identifier
- 9984214835902771
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