Iowa’s Medicaid Healthy Behaviors Program Associated With Reduced Hospital-Based Care But Higher Spending, 2012–17
| Autor: | Brad Wright, Peter C. Damiano, Natoshia M. Askelson, Youn Soo Jung, Elizabeth T. Momany |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Health risk assessment business.industry 030503 health policy & services Health Policy Hospital based Emergency department 03 medical and health sciences 0302 clinical medicine Family medicine Health care Medicine Incentive program 030212 general & internal medicine Health behavior 0305 other medical science business Medicaid Health policy |
| Zdroj: | Health Affairs. 39:876-883 |
| ISSN: | 1544-5208 0278-2715 |
| DOI: | 10.1377/hlthaff.2019.01145 |
| Popis: | Health behavior incentive programs are increasingly common in Medicaid programs nationwide. Iowa's Healthy Behaviors Program (HBP) requires Medicaid expansion enrollees to complete an annual wellness exam and health risk assessment or pay monthly premiums to avoid disenrollment. The extent to which the program reduces the use of hospital-based care and lowers health care spending is unknown. Using data for 2012-17 from Medicaid and for 2014-17 from HBP, we evaluated changes in use and spending associated with HBP participation. Compared to nonparticipants, HBP participants were less likely to have an emergency department visit or be hospitalized (by 9.6 percentage points and 2.8 percentage points, respectively) but had higher total health care spending ($1,594). Meanwhile, Iowa's Medicaid expansion was associated with increased use and spending independent of HBP participation-that is, applying to both participants and nonparticipants. Overall, our findings suggest that the HBP was associated with substantial reductions in hospital-based care but increased health care spending. |
| Databáze: | OpenAIRE |
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